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Organization
QDG DENTAL, PC
Active
Organization
QDG DENTAL, PC
Active
Other names
kids dental care
Organization subpart
No
Provider details
NPI number
Authorized official
QIAO GUO DDS (OWNER)
(646) 248-2946
Entity
Organization
Contact information
Practice address
13107 40TH RD, E30, FLUSHING, NY 11354-5116
(718) 353-3332
Mailing address
13107 40TH RD, E30, FLUSHING, NY 11354-5116
(718) 353-3332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03119977
—
NY
Enumeration date
09/28/2016
Last updated
09/28/2016
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