| Exquisite Dental Care, Pllc | |
|
4522 Little Neck Pkwy Suite #2 Little Neck NY 11362-1456 | |
| (718) 229-9100 | |
| (718) 229-9109 |
| Full Name | Exquisite Dental Care, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4522 Little Neck Pkwy, Little Neck, New York |
| Authorized Official Name and Position | Michael C Lin (OWNER) |
| Authorized Official Contact | 7182299100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exquisite Dental Care, Pllc 4522 Little Neck Pkwy Suite #2 Little Neck NY 11362-1456 Ph: (718) 229-9100 | Exquisite Dental Care, Pllc 4522 Little Neck Pkwy Suite #2 Little Neck NY 11362-1456 Ph: (718) 229-9100 |
| NPI Number | 1407133523 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407133523 | NPI | - | NPPES |
| 03102967 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053888 (New York) | Primary |
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