| Kids Dental Studio, Pc | |
|
21154 45th Dr 2nd Floor Bayside NY 11361-3310 | |
| (718) 428-3300 | |
| Not Available |
| Full Name | Kids Dental Studio, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 21154 45th Dr, Bayside, New York |
| Authorized Official Name and Position | Ken Chu (PRESIDENT) |
| Authorized Official Contact | 9176071028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Studio, Pc 19669 45th Dr Flushing NY 11358-3509 Ph: (718) 631-5515 | Kids Dental Studio, Pc 21154 45th Dr 2nd Floor Bayside NY 11361-3310 Ph: (718) 428-3300 |
| NPI Number | 1386052173 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386052173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 047519 (New York) | Primary |
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