| Full Name | Qlg Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5906 7th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Qiao Ling Guo (PRESIDENT) |
| Authorized Official Contact | 6462482946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qlg Dental, Pc 8420 51st Ave 2f Elmhurst NY 11373-5808 Ph: (646) 248-2946 | Qlg Dental, Pc 5906 7th Ave Brooklyn NY 11220-4121 Ph: (646) 248-2946 |
| NPI Number | 1205197142 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205197142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0541881 (New York) | Primary |
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