Ally Dental P.c. | |
21230 23rd Ave Ste L2 Bayside NY 11360-1535 | |
(347) 246-5288 | |
(718) 463-2308 |
Full Name | Ally Dental P.c. |
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Speciality | Dentist |
Location | 21230 23rd Ave, Bayside, New York |
Authorized Official Name and Position | Frank Chiu (PRESIDENT) |
Authorized Official Contact | 3472465288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ally Dental P.c. 21230 23rd Ave Ste L2 Bayside NY 11360-1535 Ph: () - | Ally Dental P.c. 21230 23rd Ave Ste L2 Bayside NY 11360-1535 Ph: (347) 246-5288 |
NPI Number | 1093175861 |
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Provider Enumeration Date | 03/07/2016 |
Last Update Date | 03/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093175861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 053484 (New York) | Primary |
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