Organization
BOSS DENTAL P.C.
Active
Parent organization
BOSS DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOSS DENTAL
Authorized official
DR. ANGELA LO D.D.S. (DENTIST)
(646) 247-7367
Entity
Organization
Contact information
Practice address
3708 MAIN ST # 4F, FLUSHING, NY 11354-6509
(646) 247-7367
Mailing address
1501 AVENUE U, BROOKLYN, NY 11229-3807
(646) 247-7367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02618188
—
NY
Enumeration date
05/15/2007
Last updated
03/27/2013
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