| Viva Dental, P.c. | |
|
8715 37th Ave Professional Office A Jackson Heights NY 11372-7701 | |
| (718) 651-8488 | |
| Not Available |
| Full Name | Viva Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8715 37th Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Megnet Won (DENTIST/OWNER) |
| Authorized Official Contact | 9176923393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Dental, P.c. 5 Wisteria Way Commack NY 11725-2726 Ph: (917) 692-3393 | Viva Dental, P.c. 8715 37th Ave Professional Office A Jackson Heights NY 11372-7701 Ph: (718) 651-8488 |
| NPI Number | 1265851075 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265851075 | NPI | - | NPPES |
| 02387906 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 048800 (New York) | Primary |
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