Queens Family Dental Lic

NPI #1902199870 in Astoria, New York

Provider Information

NPI Number: 1902199870
Entity Type: Organization
Organization Name: Queens Family Dental Lic
Primary Specialty: Dentist - General Practice
Enumeration Date: May 25, 2011
Last Updated: May 25, 2011

Practice Location

Address: 2602 DITMARS BLVD
City: Astoria
State: New York
ZIP Code: 11105-3123
Phone: (718) 278-5700

Authorized Official

Name: DR. WILLIAM ELIADES, DDS
Title: OWNER
Phone: (718) 278-5700

Specialties & Taxonomy Codes

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

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