Organization
FLUSHING ORAL SURGERY - DENTAL IMPLANTS
Active
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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