Grand Smile Dental

NPI #1467706689 in Maspeth, New York

Provider Information

NPI Number
1467706689
Entity Type
Organization
Organization Name
Grand Smile Dental
Primary Specialty
Dentist
Enumeration Date
Nov 9, 2012
Last Updated
Nov 9, 2012

Practice Location

Address
6977 GRAND AVE
ZIP Code
11378-1826
Phone
(718) 255-1381

Authorized Official

Name
DR. ALEXANDRA KHAIMOV, DDS
Title
DENTIST
Phone
(718) 255-1381

Specialties & Taxonomy Codes

Specialty
Dentist

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