Organization
EMPRESS DENTAL SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD YANG D.D.S. (MEMBER)
(718) 353-5504
Entity
Organization
Contact information
Practice address
4211 KISSENA BLVD APT 1D, FLUSHING, NY 11355-3221
(718) 353-5504
Mailing address
4211 KISSENA BLVD APT 1D, FLUSHING, NY 11355-3221
(718) 353-5504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03061492
—
NY
Enumeration date
03/17/2008
Last updated
04/23/2012
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