| Modern E Dental | |
|
4823 Little Neck Pkwy Little Neck NY 11362-1432 | |
| (718) 281-1282 | |
| Not Available |
| Full Name | Modern E Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4823 Little Neck Pkwy, Little Neck, New York |
| Authorized Official Name and Position | Grace E Shin (DENTIST) |
| Authorized Official Contact | 7182811282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern E Dental 4823 Little Neck Pkwy Little Neck NY 11362-1432 Ph: (718) 281-1282 | Modern E Dental 4823 Little Neck Pkwy Little Neck NY 11362-1432 Ph: (718) 281-1282 |
| NPI Number | 1104090471 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104090471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049968 (New York) | Primary |
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