| Fgc Dental Pc | |
|
3511 Farrington St Flushing NY 11354-2826 | |
| (718) 463-7676 | |
| (718) 886-1413 |
| Full Name | Fgc Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 3511 Farrington St, Flushing, New York |
| Authorized Official Name and Position | Gilbert Kim (PRESIDENT) |
| Authorized Official Contact | 7184637676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fgc Dental Pc 3511 Farrington St Flushing NY 11354-2826 Ph: (718) 463-7676 | Fgc Dental Pc 3511 Farrington St Flushing NY 11354-2826 Ph: (718) 463-7676 |
| NPI Number | 1306012273 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306012273 | NPI | - | NPPES |
| 00861156 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 037981-1 (New York) | Primary |
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