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Organization
KIM & WANG DDS PLLC
Active
Organization
KIM & WANG DDS PLLC
Active
Other names
K & W DENTAL AT FOREST HILLS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD HAO WANG DDS (PRESIDENT)
(646) 705-4908
Entity
Organization
Contact information
Practice address
10737 71ST AVE STE 203, FOREST HILLS, NY 11375-4736
(718) 261-1432
Mailing address
107-37 71ST AVE, SUITE 203, MAILBOX #4, FOREST HILLS, NY 11375
(718) 261-1432
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5530818
NY DEPARTMENT OF STATE
NY
Enumeration date
05/05/2019
Last updated
05/05/2019
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