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Organization

FLUSHING ORAL SURGERY - DENTAL IMPLANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL LI DDS, MD (OWNER / SURGEON)
(347) 943-1960
Entity
Organization

Contact information

Practice address
14238 37TH AVE UNIT 1G, FLUSHING, NY 11354-4103
(347) 943-1960
(347) 943-1961
Mailing address
14238 37TH AVE UNIT 1G, FLUSHING, NY 11354-4103
(347) 943-1960
(347) 943-1961

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
261QD0000X
Dental Clinic/Center
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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