| Joy Dental, Pllc | |
|
2537 Broadway Astoria NY 11106-3413 | |
| (718) 786-2631 | |
| (718) 956-8425 |
| Full Name | Joy Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2537 Broadway, Astoria, New York |
| Authorized Official Name and Position | Ji Park (DENTIST) |
| Authorized Official Contact | 7187862631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Dental, Pllc 2537 Broadway Astoria NY 11106-3413 Ph: (718) 786-2631 | Joy Dental, Pllc 2537 Broadway Astoria NY 11106-3413 Ph: (718) 786-2631 |
| NPI Number | 1659626877 |
|---|---|
| Provider Enumeration Date | 07/14/2012 |
| Last Update Date | 07/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659626877 | NPI | - | NPPES |
| 03142927 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 054533 (New York) | Primary |
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