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Organization

QUEENS ORAL AND FACIAL SURGERY

Active
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Organization

QUEENS ORAL AND FACIAL SURGERY

Active
Parent organization
QUEENS ORAL AND FACIAL SURGERY
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUEENS ORAL AND FACIAL SURGERY
Authorized official
DR. JEHYUN CHONG D.D.S (DENTIST)
(718) 358-5488
Entity
Organization

Contact information

Practice address
40-19 159TH ST., 1 FL., FLUSHING, NY 11358
(718) 358-5488
(917) 285-2676
Mailing address
40-19 159TH ST., 1 FL., FLUSHING, NY 11358
(718) 358-5488
(917) 285-2676

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
051035
NY
122300000X
Dentist
Primary
051051
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
051829
NY

Other

Enumeration date
11/04/2014
Last updated
11/04/2014
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