| Full Name | Wjg Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 5417 5th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Qiao Guo (OWNER) |
| Authorized Official Contact | 3479874777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wjg Dental, Pc 5417 5th Ave Brooklyn NY 11220-6865 Ph: () - | Wjg Dental, Pc 5417 5th Ave Brooklyn NY 11220-6865 Ph: (347) 987-4777 |
| NPI Number | 1114335270 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114335270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054188 (New York) | Primary |
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