| Charles Jeong Dds | |
|
16410 Northern Blvd Ste 102 Flushing NY 11358-2668 | |
| (718) 762-1700 | |
| Not Available |
| Full Name | Charles Jeong Dds |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 16410 Northern Blvd Ste 102, Flushing, New York |
| Authorized Official Name and Position | Charles Jeong (OWNER) |
| Authorized Official Contact | 7187621700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Jeong Dds 16410 Northern Blvd Ste 102 Flushing NY 11358-2668 Ph: () - | Charles Jeong Dds 16410 Northern Blvd Ste 102 Flushing NY 11358-2668 Ph: (718) 762-1700 |
| NPI Number | 1194385609 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194385609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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