| Bayside Dream Dental P.c. | |
|
4543a Bell Blvd Bayside NY 11361-3364 | |
| (718) 423-2248 | |
| Not Available |
| Full Name | Bayside Dream Dental P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4543a Bell Blvd, Bayside, New York |
| Authorized Official Name and Position | Sunhoon Loh (PRESIDENT) |
| Authorized Official Contact | 7184232248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Dream Dental P.c. 4543a Bell Blvd Bayside NY 11361-3364 Ph: (718) 423-2248 | Bayside Dream Dental P.c. 4543a Bell Blvd Bayside NY 11361-3364 Ph: (718) 423-2248 |
| NPI Number | 1992074835 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992074835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 052578 (New York) | Primary |
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