| Newtown Smile Dental | |
|
8601 Justice Ave Elmhurst NY 11373-4555 | |
| (718) 393-0100 | |
| (718) 889-2355 |
| Full Name | Newtown Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8601 Justice Ave, Elmhurst, New York |
| Authorized Official Name and Position | Minsoo Cho (OWNER) |
| Authorized Official Contact | 7183930100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newtown Smile Dental 8601 Justice Ave Elmhurst NY 11373-4555 Ph: (718) 393-0100 | Newtown Smile Dental 8601 Justice Ave Elmhurst NY 11373-4555 Ph: (718) 393-0100 |
| NPI Number | 1669847588 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669847588 | NPI | - | NPPES |
| 02150214 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049222 (New York) | Primary |
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