Astoria Dental Town PC

NPI #1891073029 in Astoria, New York

Provider Information

NPI Number: 1891073029
Entity Type: Organization
Organization Name: Astoria Dental Town PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 3060 STEINWAY ST FL 2
City: Astoria
State: New York
ZIP Code: 11103-3854
Phone: (718) 278-2141

Authorized Official

Name: YAKOV FUZAYLOV, DDS
Title: PRESIDENT
Phone: (917) 202-0190

Specialties & Taxonomy Codes

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

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