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104 Dental, PLLC — NPI 1104356476, Corona, NY | NPI Central

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104 Dental, PLLC

NPI 1104356476 · General Practice Dentistry · Corona, NY

Provider details

NPI number: 1104356476
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Artin Sakhaee, Owner
License: 052701 (NY)

Practice location

10423 Roosevelt Avenue

Corona, NY 11368-2327

Phone: (718) 426-3000

Fax: (718) 426-3002

More NY providers

Mailing address

10423 Roosevelt Avenue

Corona, NY 11368-2327

Registry dates

Enumerated: 2017-06-19
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.