Organization
ASHLEY Y. KI DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY YONSOOK KI D.D.S. (PRESIDENT)
(718) 321-7181
Entity
Organization
Contact information
Practice address
16410 NORTHERN BLVD, SUITE #214, FLUSHING, NY 11358-2668
(718) 321-7181
(718) 321-7197
Mailing address
16410 NORTHERN BLVD, SUITE #214, FLUSHING, NY 11358-2668
(718) 321-7181
(718) 321-7197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02543180
—
NY
Enumeration date
07/09/2008
Last updated
07/09/2008
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