104 Dental, Pllc

NPI #1104356476 in Corona, New York

Provider Information

NPI Number
1104356476
Entity Type
Organization
Organization Name
104 Dental, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 19, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
10423 ROOSEVELT AVENUE
City
Corona
ZIP Code
11368-2327
Phone
(718) 426-3000

Authorized Official

Name
DR. ARTIN SAKHAEE, DDS
Title
OWNER
Phone
(718) 476-7801

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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