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NPI Code Detail

MEDICARE: CENTRO DENTAL FAMILIAR P.C

MEDICARE: CENTRO DENTAL FAMILIAR P.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist045091NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124018700
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRO DENTAL FAMILIAR P.C
Provider Business Mailing Address
First Line : 3742 90TH ST
Second Line : FIRST FLOORR
City : JACKSON HTS
State : NY
Zip : 11372-7830
Country : US
Telephone Number : 718-424-5559
Fax Number : 718-426-2484
Provider Business Practice Location Address
First Line : 3742 90TH ST
Second Line : FIRST FLOORR
City : JACKSON HTS
State : NY
Zip : 11372-7830
Country : US
Telephone Number : 718-424-5559
Fax Number : 718-426-2484
Authorized Official
Title or Position : OWNER
Name : DR. LUZ A FILION
Credential : DDS
Telephone Number : 718-533-7333
Provider Enumeration Date : 10/25/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1548259120 — DR. LUZ ARELIS FILION D.D.S
Practice Location Address:
3742 90TH ST , JACKSON HEIGHTS
JACKSON HEIGHTS, NY
11372-7830
Practice Phone: 718-424-5559
Practice Fax: 718-426-2484
1760569438 — MR. AARON LEWIS KAHN L.C.S.W.
Practice Location Address:
3744 90TH ST
JACKSON HEIGHTS, NY
11372-7830
Practice Phone: 646-334-1233
Practice Fax:
1023294816 — SUE JEONG LEE
Practice Location Address:
3764 90TH ST
JACKSON HEIGHTS, NY
11372-7830
Practice Phone: 718-779-2221
Practice Fax:
1720383714 — RRG MEDICAL PRACTICE, PC
Practice Location Address:
3736 90TH ST FL 1
JACKSON HEIGHTS, NY
11372-7830
Practice Phone: 718-505-0030
Practice Fax: 718-505-0032
1033590260 — MS. YESSENIA ACOSTA PA-C
Practice Location Address:
3744 90TH ST
JACKSON HEIGHTS, NY
11372-7830
Practice Phone: 718-255-1542
Practice Fax:
1770129579 — VIDA CARE PHARMACY LLC
Practice Location Address:
3764 90TH ST
JACKSON HEIGHTS, NY
11372-7830
Practice Phone: 718-779-2221
Practice Fax: 718-779-3600

Directions to “CENTRO DENTAL FAMILIAR P.C ” Practice Location

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