# WANYUN XUE DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carroll Gardens Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366092850
- **Authorized official:** DR. WANYUN XUE DDS (OWNER)
- **Authorized official phone:** (718) 852-3793

## Contact information

- **Practice address:** 396 COURT ST, BROOKLYN, NY 11231-4206
- **Practice address phone:** (718) 852-3793
- **Mailing address:** 93 RAPELYE ST APT 2A, BROOKLYN, NY 11231-2629
- **Mailing address phone:** (718) 852-3793

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 12/06/2022