Individual
DR. KEVIN XUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13620 38TH AVE, SUITE 6C, FLUSHING, NY 11354-4233
(718) 886-8199
(718) 886-8699
Mailing address
13620 38TH AVE, SUITE 6C, FLUSHING, NY 11354-4233
(718) 886-8199
(718) 886-8699
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
043904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01701835
—
NY
Enumeration date
09/12/2006
Last updated
06/12/2008
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