Astoria Dental Design LLC

NPI #1053788380 in Whitestone, New York

Provider Information

NPI Number: 1053788380
Entity Type: Organization
Organization Name: Astoria Dental Design LLC
Primary Specialty: Dentist
Enumeration Date: Aug 21, 2015
Last Updated: Aug 21, 2015

Practice Location

Address: 15043 14TH AVE
Address 2: STE C
City: Whitestone
State: New York
ZIP Code: 11357-1817
Phone: (212) 572-9800

Authorized Official

Name: ANDREA SHIVRATTAN
Title: OFFICE MANAGER
Phone: (347) 579-5159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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