18th Ave Professional Dental Pc | |
2171 68th St Fl 3 Brooklyn NY 11204-4733 | |
(347) 713-1828 | |
(347) 713-1878 |
Full Name | 18th Ave Professional Dental Pc |
---|---|
Speciality | Dentist |
Location | 2171 68th St Fl 3, Brooklyn, New York |
Authorized Official Name and Position | Kenny H Ho (DDS/OWNER) |
Authorized Official Contact | 3477131828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
18th Ave Professional Dental Pc 2171 68th St Fl 3 Brooklyn NY 11204-4733 Ph: (347) 713-1828 | 18th Ave Professional Dental Pc 2171 68th St Fl 3 Brooklyn NY 11204-4733 Ph: (347) 713-1828 |
NPI Number | 1154593150 |
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Provider Enumeration Date | 03/31/2008 |
Last Update Date | 10/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154593150 | NPI | - | NPPES |
02320661 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 049610 (New York) | Primary |
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