| New York Dental Group | |
|
14448 Roosevelt Ave Ste. Md-b Flushing NY 11354-6232 | |
| (718) 886-4545 | |
| Not Available |
| Full Name | New York Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 14448 Roosevelt Ave, Flushing, New York |
| Authorized Official Name and Position | Jason Kim (OWNER) |
| Authorized Official Contact | 7188864545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Dental Group 14448 Roosevelt Ave Ste. Md-b Flushing NY 11354-6232 Ph: (718) 886-4545 | New York Dental Group 14448 Roosevelt Ave Ste. Md-b Flushing NY 11354-6232 Ph: (718) 886-4545 |
| NPI Number | 1144752726 |
|---|---|
| Provider Enumeration Date | 04/01/2017 |
| Last Update Date | 04/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144752726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047030 (New York) | Primary |
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Queensboro Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15034 Union Tpke, Flushing, NY 11367 Phone: 718-380-0011 | |
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