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Organization
VERVEDENT DENTAL PC
Active
Organization
VERVEDENT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY LO DDS (OWNER)
(718) 961-0528
Entity
Organization
Contact information
Practice address
13987 35TH AVE, L2, FLUSHING, NY 11354-3548
(718) 961-0528
(718) 961-4538
Mailing address
13987 35TH AVE, L2, FLUSHING, NY 11354-3548
(718) 961-0528
(718) 961-4538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047934-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04216359
—
NY
Enumeration date
06/30/2016
Last updated
06/30/2016
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