Provider Demographics
NPI:1235300898
Name:DENTALSMILEP.C.
Entity Type:Organization
Organization Name:DENTALSMILEP.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S.
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:MUGALLY
Authorized Official - Last Name:SAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-777-2577
Mailing Address - Street 1:3003 30TH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2168
Mailing Address - Country:US
Mailing Address - Phone:718-777-2577
Mailing Address - Fax:718-777-0742
Practice Address - Street 1:3003 30TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2168
Practice Address - Country:US
Practice Address - Phone:718-777-2577
Practice Address - Fax:718-777-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050236261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental