Bright Dental P.c | |
3907 Prince St Ste 4h Flushing NY 11354-5308 | |
(718) 961-1628 | |
Not Available |
Full Name | Bright Dental P.c |
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Speciality | Dentist |
Location | 3907 Prince St Ste 4h, Flushing, New York |
Authorized Official Name and Position | Ivy X. Wang (PRESIDENT) |
Authorized Official Contact | 7189611628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bright Dental P.c 3907 Prince St Ste 4h Flushing NY 11354-5308 Ph: () - | Bright Dental P.c 3907 Prince St Ste 4h Flushing NY 11354-5308 Ph: (718) 961-1628 |
NPI Number | 1053521732 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053521732 | NPI | - | NPPES |
02517600 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 049014 (New York) | Primary |
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