| Avalon Dental, Pc | |
|
20103 Northern Blvd Fl 1 Flushing NY 11361-2563 | |
| (646) 436-8470 | |
| Not Available |
| Full Name | Avalon Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20103 Northern Blvd Fl 1, Flushing, New York |
| Authorized Official Name and Position | Tommy Ye (PRESIDENT) |
| Authorized Official Contact | 3473388652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dental, Pc 20103 Northern Blvd Fl 1 Flushing NY 11361-2563 Ph: (347) 338-8652 | Avalon Dental, Pc 20103 Northern Blvd Fl 1 Flushing NY 11361-2563 Ph: (646) 436-8470 |
| NPI Number | 1679182919 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 12/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679182919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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