Provider Demographics
NPI:1689858565
Name:CUTE DENTAL CARE
Entity Type:Organization
Organization Name:CUTE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:WAHEDUR
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-466-2222
Mailing Address - Street 1:16701 HILLSIDE AVE
Mailing Address - Street 2:2ND FL.
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4289
Mailing Address - Country:US
Mailing Address - Phone:718-526-5999
Mailing Address - Fax:718-466-6555
Practice Address - Street 1:1749 GRAND CONCOURSE
Practice Address - Street 2:GROUND FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:718-466-2222
Practice Address - Fax:718-466-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046388122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1700924362OtherTYPE 1 NPI