Empress Dental Service Pllc | |
4211 Kissena Blvd Apt 1d Flushing NY 11355-3221 | |
(718) 353-5504 | |
Not Available |
Full Name | Empress Dental Service Pllc |
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Speciality | Dentist - General Practice |
Location | 4211 Kissena Blvd Apt 1d, Flushing, New York |
Authorized Official Name and Position | Richard Yang (MEMBER) |
Authorized Official Contact | 7183535504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Empress Dental Service Pllc 4211 Kissena Blvd Apt 1d Flushing NY 11355-3221 Ph: (718) 353-5504 | Empress Dental Service Pllc 4211 Kissena Blvd Apt 1d Flushing NY 11355-3221 Ph: (718) 353-5504 |
NPI Number | 1245401322 |
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Provider Enumeration Date | 03/17/2008 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245401322 | NPI | - | NPPES |
03061492 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 047554 (New York) | Primary |
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