Organization
KEW GARDENS FAMILY DENTAL,PLLC
Active
Other names
KEW GARDENS DENTAL SPECIALTIES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER T CHU (OWNER)
(718) 261-2065
Entity
Organization
Contact information
Practice address
103 82ND AVENUE, KEW GARDENS, NY 11415-1423
(718) 261-2065
Mailing address
103 82ND AVE, KEW GARDENS, NY 11415-1423
(718) 261-2065
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
050329
NY
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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