Provider Demographics
NPI:1245404045
Name:DENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:DENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIS
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-261-2005
Mailing Address - Street 1:8045 KEW GARDENS RD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1152
Mailing Address - Country:US
Mailing Address - Phone:718-261-2005
Mailing Address - Fax:
Practice Address - Street 1:8045 KEW GARDENS RD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1152
Practice Address - Country:US
Practice Address - Phone:718-261-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
044099-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty