Dynasty Dental Care, PC

NPI #1902343080 in Forest Hills, New York

Provider Information

NPI Number: 1902343080
Entity Type: Organization
Organization Name: Dynasty Dental Care, PC
Primary Specialty: Dentist
Enumeration Date: Jan 26, 2017
Last Updated: Jan 26, 2017

Practice Location

Address: 10915 QUEENS BLVD
Address 2: SUITE 1D
City: Forest Hills
State: New York
ZIP Code: 11375-5482
Phone: (718) 263-4800

Authorized Official

Name: DR. ALEXANDER D BORUKHOV, DMD
Title: OWNER
Phone: (718) 263-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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