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Organization
NEWTOWN SMILE DENTAL
Active
Organization
NEWTOWN SMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINSOO CHO DDS (OWNER)
(718) 393-0100
Entity
Organization
Contact information
Practice address
8601 JUSTICE AVE, ELMHURST, NY 11373-4555
(718) 393-0100
(718) 889-2355
Mailing address
8601 JUSTICE AVE, ELMHURST, NY 11373-4555
(718) 393-0100
(718) 889-2355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049222
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150214
—
NY
Enumeration date
12/03/2015
Last updated
12/03/2015
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