Provider Demographics
NPI:1679664890
Name:HY QUALITY DENTAL CARE PC
Entity Type:Organization
Organization Name:HY QUALITY DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS PRESIDENT OF PC
Authorized Official - Prefix:DR
Authorized Official - First Name:BEDROS
Authorized Official - Middle Name:
Authorized Official - Last Name:YAVRU-SAKUK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-896-5739
Mailing Address - Street 1:92-29 QUEENS BOULEVARD
Mailing Address - Street 2:STE # 1G
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:718-896-5739
Mailing Address - Fax:718-896-5739
Practice Address - Street 1:92-29 QUEENS BOULEVARD
Practice Address - Street 2:STE # 1G
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-896-5739
Practice Address - Fax:718-896-5739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty