| Long Beach Orthodontics | |
|
622 E Park Ave Long Beach NY 11561-2505 | |
| (516) 432-5195 | |
| Not Available |
| Full Name | Long Beach Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 622 E Park Ave, Long Beach, New York |
| Authorized Official Name and Position | David Ming-hai Wu (PRESIDENT) |
| Authorized Official Contact | 5164325195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Beach Orthodontics 622 E Park Ave Long Beach NY 11561-2505 Ph: (516) 432-5195 | Long Beach Orthodontics 622 E Park Ave Long Beach NY 11561-2505 Ph: (516) 432-5195 |
| NPI Number | 1609261239 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609261239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 050111 (New York) | Primary |
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