Organization
FGC DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT KIM DDS (PRESIDENT)
(718) 463-7676
Entity
Organization
Contact information
Practice address
3511 FARRINGTON ST, FLUSHING, NY 11354-2826
(718) 463-7676
(718) 886-1413
Mailing address
3511 FARRINGTON ST, FLUSHING, NY 11354-2826
(718) 463-7676
(718) 886-1413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037981-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00861156
—
NY
Enumeration date
05/01/2008
Last updated
05/01/2008
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