Organization
LUNG CHAO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER L CHAO DDS (PRESIDENT)
(718) 206-4887
Entity
Organization
Contact information
Practice address
168-19 HILLSIDE AVE, JAMAICA, NY 11432
(718) 206-4887
(718) 291-1420
Mailing address
168-19 HILLSIDE AVE, JAMAICA, NY 11432
(718) 206-4887
(718) 291-1420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280197
—
NY
Enumeration date
09/06/2006
Last updated
08/22/2020
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