| 8th Avenue Family Dental Pc | |
|
837 58th St Fl 1 Brooklyn NY 11220-3609 | |
| (718) 686-8886 | |
| Not Available |
| Full Name | 8th Avenue Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 837 58th St Fl 1, Brooklyn, New York |
| Authorized Official Name and Position | Wai-ming Kevin Young (OWNER/PRESIDENT) |
| Authorized Official Contact | 9175196899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 8th Avenue Family Dental Pc 837 58th St Fl 1 Brooklyn NY 11220-3609 Ph: (917) 519-6899 | 8th Avenue Family Dental Pc 837 58th St Fl 1 Brooklyn NY 11220-3609 Ph: (718) 686-8886 |
| NPI Number | 1487831657 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 08/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487831657 | NPI | - | NPPES |
| 02299287 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049532 (New York) | Primary |
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