Organization
VIVA DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGNET WON D.M.D (DENTIST/OWNER)
(917) 692-3393
Entity
Organization
Contact information
Practice address
8715 37TH AVE, PROFESSIONAL OFFICE A, JACKSON HEIGHTS, NY 11372-7701
(718) 651-8488
Mailing address
5 WISTERIA WAY, COMMACK, NY 11725-2726
(917) 692-3393
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02387906
—
NY
Enumeration date
04/09/2014
Last updated
04/09/2014
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