Individual
ANGIE CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10460 QUEENS BLVD, PARKER TOWERS, SUITE 1F, FOREST HILLS, NY 11375-7318
(718) 459-5965
Mailing address
5746 224TH ST, OAKLAND GARDENS, NY 11364-2008
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
054978
NY
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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