Hana Dental Care P.c. | |
3931 47th Ave Sunnyside NY 11104-3576 | |
(718) 392-3634 | |
(718) 392-2703 |
Full Name | Hana Dental Care P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 3931 47th Ave, Sunnyside, New York |
Authorized Official Name and Position | Han Jong Kang (PRESIDENT) |
Authorized Official Contact | 7183923634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hana Dental Care P.c. 3931 47th Ave Sunnyside NY 11104-3576 Ph: (718) 392-3634 | Hana Dental Care P.c. 3931 47th Ave Sunnyside NY 11104-3576 Ph: (718) 392-3634 |
NPI Number | 1942214754 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942214754 | NPI | - | NPPES |
02064120 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 048768 (New York) | Primary |
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