QUEENSVILLAGEDENTALCARE,P.C.
Managed Care Organizations at 94 Dr, Jamaica, NY

License number
New York 042201
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. TERENCE TEEKAH MAHASE D.D.S
Title: PRESIDENT
Phone: (718) 465-3265
Address
Address
22005 94Th Dr, Jamaica, NY 11428
National Provider ID: 1679958052
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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