At Home Dental | |
4516 251st St Little Neck NY 11362-1333 | |
(718) 357-9000 | |
(718) 225-3618 |
Full Name | At Home Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 4516 251st St, Little Neck, New York |
Authorized Official Name and Position | Kai Dan Mai (PRESIDENT) |
Authorized Official Contact | 7183579000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
At Home Dental 4516 251st St Little Neck NY 11362-1333 Ph: (718) 357-9000 | At Home Dental 4516 251st St Little Neck NY 11362-1333 Ph: (718) 357-9000 |
NPI Number | 1730348699 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730348699 | NPI | - | NPPES |
02208675 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 048246-1 (New York) | Primary |
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