Complete Smiles Dental PC

NPI #1497161053 in Rego Park, New York

Provider Information

NPI Number: 1497161053
Entity Type: Organization
Organization Name: Complete Smiles Dental PC
Primary Specialty: Dentist
Enumeration Date: Jul 3, 2014
Last Updated: Jul 3, 2014

Practice Location

Address: 6574 SAUNDERS ST APT 3E
City: Rego Park
State: New York
ZIP Code: 11374-4240
Phone: (646) 637-6997

Authorized Official

Name: DR. ALBERT ILYAYEV, D.D.S.
Title: PRESIDENT
Phone: (646) 637-6997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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