# SHU PING RONG, DDS P.C

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

## Provider details

- **NPI number:** 1649576760
- **Authorized official:** SHU PING RONG DDS (PRESIDENT)
- **Authorized official phone:** (917) 816-2085

## Contact information

- **Practice address:** 128 MOTT ST, SUITE \# 507, NEW YORK, NY 10013-5540
- **Practice address phone:** (212) 226-6368
- **Practice address fax:** (212) 226-6369
- **Mailing address:** 128 MOTT ST, SUITE \# 507, NEW YORK, NY 10013-5540
- **Mailing address phone:** (212) 226-6368
- **Mailing address fax:** (212) 226-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 055002 | NY | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 02/10/2011