| Woodside Family Dental Pllc | |
|
5903 Roosevelt Ave Woodside NY 11377-3546 | |
| (718) 651-7700 | |
| Not Available |
| Full Name | Woodside Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5903 Roosevelt Ave, Woodside, New York |
| Authorized Official Name and Position | Amber Chu (PRESIDENT) |
| Authorized Official Contact | 7186517700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodside Family Dental Pllc 5903 Roosevelt Ave Woodside NY 11377-3546 Ph: (718) 651-7700 | Woodside Family Dental Pllc 5903 Roosevelt Ave Woodside NY 11377-3546 Ph: (718) 651-7700 |
| NPI Number | 1205009826 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205009826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050329 (New York) | Primary |
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