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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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