Into White Dental Arts, Pllc
NPI #1790921062 in Long Island City, New York
Provider Information
- NPI Number
- 1790921062
- Entity Type
- Organization
- Organization Name
- Into White Dental Arts, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 16, 2008
- Last Updated
- Nov 5, 2011
Practice Location
- Address
- 4743 VERNON BLVD
- Address 2
- GROUND FLOOR
- City
- Long Island City
- State
- New York
- ZIP Code
- 11101-5519
- Phone
- (718) 361-3050
Authorized Official
- Name
- DR. STEVEN KONSTANTINE MANTINAOS, D.D.S.
- Title
- OWNER/DENTIST-PROSTHODONTIST
- Phone
- (718) 361-3050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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