| At Home Dental | |
|
8615 Dongan Ave Unit: P Elmhurst NY 11373-3809 | |
| (718) 271-0808 | |
| (718) 271-3457 |
| Full Name | At Home Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8615 Dongan Ave, Elmhurst, New York |
| Authorized Official Name and Position | Kai Dan Mai (PRESIDENT) |
| Authorized Official Contact | 7182710808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Dental 8615 Dongan Ave Unit: P Elmhurst NY 11373-3809 Ph: (718) 271-0808 | At Home Dental 8615 Dongan Ave Unit: P Elmhurst NY 11373-3809 Ph: (718) 271-0808 |
| NPI Number | 1831351626 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831351626 | NPI | - | NPPES |
| 02208675 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048246-1 (New York) | Primary |
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