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Organization
STARS DENTAL
Active
Organization
STARS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LO (DENTIST)
(718) 491-0122
Entity
Organization
Contact information
Practice address
6402 8TH AVE # 605, BROOKLYN, NY 11220-4720
(718) 491-0122
Mailing address
6402 8TH AVE # 605, BROOKLYN, NY 11220-4720
(718) 491-0122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0750239
—
NY
Enumeration date
08/01/2006
Last updated
08/22/2020
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