Organization
AC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LO (DENTIST)
(718) 886-7222
Entity
Organization
Contact information
Practice address
3708 MAIN ST # 4/FL, FLUSHING, NY 11354-6509
(718) 886-7222
(718) 886-6399
Mailing address
3708 MAIN ST # 4/FL, FLUSHING, NY 11354-6509
(718) 886-7222
(718) 886-6399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751239
—
NY
Enumeration date
08/01/2006
Last updated
08/22/2020
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