| Tooth Fairy Endodontics, P.c. | |
|
4125 Kissena Blvd Ste 117 Flushing NY 11355-3150 | |
| (718) 321-9700 | |
| Not Available |
| Full Name | Tooth Fairy Endodontics, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4125 Kissena Blvd Ste 117, Flushing, New York |
| Authorized Official Name and Position | Eugenia Yang (OWNER) |
| Authorized Official Contact | 6175711067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Fairy Endodontics, P.c. 4125 Kissena Blvd Ste 117 Flushing NY 11355-3150 Ph: (718) 321-9700 | Tooth Fairy Endodontics, P.c. 4125 Kissena Blvd Ste 117 Flushing NY 11355-3150 Ph: (718) 321-9700 |
| NPI Number | 1497313241 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497313241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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