Organization
18TH AVE PROFESSIONAL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY H HO DDS (DDS/OWNER)
(347) 713-1828
Entity
Organization
Contact information
Practice address
2171 68TH ST FL 3, BROOKLYN, NY 11204-4733
(347) 713-1828
(347) 713-1878
Mailing address
2171 68TH ST FL 3, BROOKLYN, NY 11204-4733
(347) 713-1828
(347) 713-1878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02320661
—
NY
Enumeration date
03/31/2008
Last updated
10/12/2017
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