104 DENTAL, PLLC

General Practice Dentistry

NPI: 1104356476Organization

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

052701(NY)

Contact & Hours

Address: 10423 ROOSEVELT AVENUE
CORONA, NY 11368
Phone: (718) 426-3000

Quick Facts

NPI: 1104356476
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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