Hollis Advanced Dental Care P.c.

NPI #1699922088 in Hollis, New York

Provider Information

NPI Number: 1699922088
Entity Type: Organization
Organization Name: Hollis Advanced Dental Care P.c.
Primary Specialty: Dentist
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 19002 JAMAICA AVE
Address 2: 2 FLOOR
City: Hollis
State: New York
ZIP Code: 11423-2516
Phone: (718) 454-7418

Authorized Official

Name: DR. BENJAMIN V KATAYEV, D.D.S.
Title: PRESIDENT
Phone: (718) 454-7418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X	Primary

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