Organization
EZ DENTAL SERVICE, PLLC
Active
Other names
EZ Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ZHUO DDS (OWNER)
(857) 998-9178
Entity
Organization
Contact information
Practice address
132-61 41ST ROAD, UNIT #1A, FLUSHING, NY 11355
(718) 510-2122
Mailing address
154-02 33RD AVENUE, FLUSHING, NY 11354
(718) 510-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03167833
—
NY
Enumeration date
09/21/2009
Last updated
03/18/2010
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