Queensvillagedentalcare,p.c.
NPI #1679958052 in Queens Village, New York
Provider Information
- NPI Number
- 1679958052
- Entity Type
- Organization
- Organization Name
- Queensvillagedentalcare,p.c.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jul 27, 2015
- Last Updated
- Jul 27, 2015
Practice Location
- Address
- 22005 94TH DR
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-2105
- Phone
- (718) 465-3265
Authorized Official
- Name
- DR. TERENCE TEEKAH MAHASE, D.D.S
- Title
- PRESIDENT
- Phone
- (718) 465-3265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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