# YUAN TIAN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144916750
- **Authorized official:** YUAN TIAN DMD (DENTIST)
- **Authorized official phone:** (718) 799-0779

## Contact information

- **Practice address:** 13630 MAPLE AVE STE 1H, FLUSHING, NY 11355-3869
- **Practice address phone:** (718) 799-0779
- **Practice address fax:** (718) 799-0778
- **Mailing address:** 13630 MAPLE AVE STE 1H, FLUSHING, NY 11355-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2023
- **Last updated:** 04/17/2023