| Crystal Dental Care, Pllc | |
|
38-50 Bell Blvd Suite E Bayside NY 11361 | |
| (718) 352-0220 | |
| Not Available |
| Full Name | Crystal Dental Care, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 38-50 Bell Blvd, Bayside, New York |
| Authorized Official Name and Position | Jason Lin (DIRECTOR) |
| Authorized Official Contact | 7183520220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Dental Care, Pllc 38-50 Bell Blvd Suite E Bayside NY 11361 Ph: () - | Crystal Dental Care, Pllc 38-50 Bell Blvd Suite E Bayside NY 11361 Ph: (718) 352-0220 |
| NPI Number | 1891141172 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891141172 | NPI | - | NPPES |
| 04347664 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051269 (New York) | Primary |
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