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13107 40th Rd E30 Flushing NY 11354-5116 | |
(718) 353-3332 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 13107 40th Rd, Flushing, New York |
Authorized Official Name and Position | Qiao Guo (OWNER) |
Authorized Official Contact | 6462482946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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13107 40th Rd E30 Flushing NY 11354-5116 Ph: (718) 353-3332 | 13107 40th Rd E30 Flushing NY 11354-5116 Ph: (718) 353-3332 |
NPI Number | 1447709761 |
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Provider Enumeration Date | 09/28/2016 |
Last Update Date | 09/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447709761 | NPI | - | NPPES |
03119977 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 054188 (New York) | Primary |
Edward Zhuo, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13261 41st Rd, Suite 102, Flushing, NY 11355 Phone: 718-886-0860 Fax: 718-886-6086 | |
Ac Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3708 Main St # 4/fl, Flushing, NY 11354 Phone: 718-886-7222 Fax: 718-886-6399 | |
Queensboro Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15034 Union Tpke, Flushing, NY 11367 Phone: 718-380-0011 | |
Sylvia Shihpin Lin, Dds Ms P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13620 38th Ave Ste 6j, Flushing, NY 11354 Phone: 718-939-4734 | |