State Dental Arts P.c

NPI #1114267283 in Woodside, New York

Provider Information

NPI Number: 1114267283
Entity Type: Organization
Organization Name: State Dental Arts P.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 26, 2013
Last Updated: Feb 26, 2013

Practice Location

Address: 6715 ROOSEVELT AVE
City: Woodside
State: New York
ZIP Code: 11377
Phone: (917) 815-5767

Authorized Official

Name: MS. LIGIA V STATE, DDS
Title: DENTIST
Phone: (917) 815-5767

Specialties & Taxonomy Codes

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

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