Organization
YUAN TIAN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUAN TIAN DMD (DENTIST)
(718) 799-0779
Entity
Organization
Contact information
Practice address
13630 MAPLE AVE STE 1H, FLUSHING, NY 11355-3869
(718) 799-0779
(718) 799-0778
Mailing address
13630 MAPLE AVE STE 1H, FLUSHING, NY 11355-3869
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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