Joy Dental, Pllc | |
2537 Broadway Astoria NY 11106-3413 | |
(718) 786-2631 | |
(718) 956-8425 |
Full Name | Joy Dental, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 2537 Broadway, Astoria, New York |
Authorized Official Name and Position | Ji Park (DENTIST) |
Authorized Official Contact | 7187862631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joy Dental, Pllc 2537 Broadway Astoria NY 11106-3413 Ph: (718) 786-2631 | Joy Dental, Pllc 2537 Broadway Astoria NY 11106-3413 Ph: (718) 786-2631 |
NPI Number | 1659626877 |
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Provider Enumeration Date | 07/14/2012 |
Last Update Date | 07/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659626877 | NPI | - | NPPES |
03142927 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 054533 (New York) | Primary |
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