Elite New York Dental

NPI #1174769970 in Woodside, New York

Provider Information

NPI Number: 1174769970
Entity Type: Organization
Organization Name: Elite New York Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 29, 2008
Last Updated: Dec 29, 2008

Practice Location

Address: 4305 48TH AVE
City: Woodside
State: New York
ZIP Code: 11377-6241
Phone: (347) 420-9490

Authorized Official

Name: MARK MEHRDAD HAGIGI, DDS
Title: PRESIDENT
Phone: (347) 420-9490

Specialties & Taxonomy Codes

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

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