| Lung Chao Dds Pc | |
|
168-19 Hillside Ave Jamaica NY 11432 | |
| (718) 206-4887 | |
| (718) 291-1420 |
| Full Name | Lung Chao Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 168-19 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Alexander L Chao (PRESIDENT) |
| Authorized Official Contact | 7182064887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lung Chao Dds Pc 168-19 Hillside Ave Jamaica NY 11432 Ph: (718) 206-4887 | Lung Chao Dds Pc 168-19 Hillside Ave Jamaica NY 11432 Ph: (718) 206-4887 |
| NPI Number | 1467555631 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467555631 | NPI | - | NPPES |
| 02280197 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 043389 (New York) | Primary |
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