Organization
QLG DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIAO LING GUO DDS (PRESIDENT)
(646) 248-2946
Entity
Organization
Contact information
Practice address
5906 7TH AVE, BROOKLYN, NY 11220-4121
(646) 248-2946
Mailing address
8420 51ST AVE, 2F, ELMHURST, NY 11373-5808
(646) 248-2946
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0541881
NY
Other
Enumeration date
06/07/2012
Last updated
09/24/2012
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