Kool Smiles Dental PC
NPI #1497069470 in Forest Hills, New York
Provider Information
- NPI Number
- 1497069470
- Entity Type
- Organization
- Organization Name
- Kool Smiles Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2010
- Last Updated
- Nov 4, 2010
Practice Location
- Address
- 11510 QUEENS BLVD
- Address 2
- UL-6
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-7015
- Phone
- (718) 874-6969
Authorized Official
- Name
- KHAIM KALANTAROV
- Title
- PRESIDENT
- Phone
- (718) 874-6969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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