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Organization
BAYSIDE LASER DENTAL PC
Active
Organization
BAYSIDE LASER DENTAL PC
Active
Other names
Great Neck Laser Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYANG-RIM LEE DDS (PRESIDENT)
(718) 279-8588
Entity
Organization
Contact information
Practice address
3651 BELL BLVD, BAYSIDE, NY 11361-2169
(718) 279-8588
(718) 631-6784
Mailing address
3651 BELL BLVD, BAYSIDE, NY 11361-2169
(718) 279-8588
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/14/2023
Last updated
04/02/2024
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