| Queens Oral And Facial Surgery | |
|
40-19 159th St. 1 Fl. Flushing NY 11358 | |
| (718) 358-5488 | |
| (917) 285-2676 |
| Full Name | Queens Oral And Facial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 40-19 159th St., Flushing, New York |
| Authorized Official Name and Position | Jehyun Chong (DENTIST) |
| Authorized Official Contact | 7183585488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Oral And Facial Surgery 40-19 159th St. 1 Fl. Flushing NY 11358 Ph: (718) 358-5488 | Queens Oral And Facial Surgery 40-19 159th St. 1 Fl. Flushing NY 11358 Ph: (718) 358-5488 |
| NPI Number | 1790180693 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790180693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051035 (New York) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 051829 (New York) | Secondary |
| 122300000X | Dentist | 051051 (New York) | Primary |
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