Sixtieth Family Dental,pllc | |
6019 Roosevelt Ave Ste 225 Woodside NY 11377 | |
(585) 358-3388 | |
(585) 358-3399 |
Full Name | Sixtieth Family Dental,pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 6019 Roosevelt Ave Ste 225, Woodside, New York |
Authorized Official Name and Position | Jun Kwon (OWNER) |
Authorized Official Contact | 5853583388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sixtieth Family Dental,pllc 6019 Roosevelt Ave Ste 225 Woodside NY 11377-3537 Ph: (585) 358-3388 | Sixtieth Family Dental,pllc 6019 Roosevelt Ave Ste 225 Woodside NY 11377 Ph: (585) 358-3388 |
NPI Number | 1992206585 |
---|---|
Provider Enumeration Date | 02/28/2018 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992206585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 51330 (New York) | Primary |
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