| Little T Kids Dentistry | |
|
8610 Roosevelt Ave Ste 31 Jackson Heights NY 11372-7511 | |
| (303) 725-7845 | |
| Not Available |
| Full Name | Little T Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8610 Roosevelt Ave Ste 31, Jackson Heights, New York |
| Authorized Official Name and Position | Carter Le (OWNER) |
| Authorized Official Contact | 3037257845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little T Kids Dentistry 8610 Roosevelt Ave Ste 31 Jackson Heights NY 11372-7511 Ph: () - | Little T Kids Dentistry 8610 Roosevelt Ave Ste 31 Jackson Heights NY 11372-7511 Ph: (303) 725-7845 |
| NPI Number | 1760034391 |
|---|---|
| Provider Enumeration Date | 07/13/2019 |
| Last Update Date | 07/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760034391 | NPI | - | NPPES |
| 04838822 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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