Astoria Dental Broadway

NPI #1730675273 in Astoria, New York

Provider Information

NPI Number: 1730675273
Entity Type: Organization
Organization Name: Astoria Dental Broadway
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 31-72 31ST ST
Address 2: SUITE #1
City: Astoria
State: New York
ZIP Code: 11106
Phone: (929) 522-0554

Authorized Official

Name: ANDREW MARON, DDS
Title: OWNER
Phone: (929) 522-0554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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