# SIXTIETH FAMILY DENTAL,PLLC

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

## Provider details

- **NPI number:** 1992206585
- **Authorized official:** DR. JUN KWON DDS (OWNER)
- **Authorized official phone:** (585) 358-3388

## Contact information

- **Practice address:** 6019 ROOSEVELT AVE STE 225, WOODSIDE, NY 11377
- **Practice address phone:** (585) 358-3388
- **Practice address fax:** (585) 358-3399
- **Mailing address:** 6019 ROOSEVELT AVE STE 225, WOODSIDE, NY 11377-3537
- **Mailing address phone:** (585) 358-3388
- **Mailing address fax:** (585) 358-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 51330 | NY | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 05/16/2018