Village Green Dental PC
NPI #1003100124 in Staten Island, New York
Provider Information
- NPI Number
- 1003100124
- Entity Type
- Organization
- Organization Name
- Village Green Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 6, 2011
- Last Updated
- Jun 6, 2011
Practice Location
- Address
- 337 HAMPTON GRN
- City
- Staten Island
- State
- New York
- ZIP Code
- 10312-1722
- Phone
- (718) 948-0870
Authorized Official
- Name
- DR. VALERY DUBOVIKOV
- Title
- DDS
- Phone
- (718) 948-0870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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