Dental America PC

NPI #1033227798 in Elmhurst, New York

Provider Information

NPI Number: 1033227798
Entity Type: Organization
Organization Name: Dental America PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 25, 2006
Last Updated: Mar 26, 2008

Practice Location

Address: 81 14 QUEENS BLVD.
City: Elmhurst
State: New York
ZIP Code: 11373
Phone: (718) 533-1515

Authorized Official

Name: DR. FABIO GERARDO CORDERO, DDS
Title: PRESIDENT
Phone: (718) 533-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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