Organization
M.Y. DENTAL ASSOCIATE P.C.
Active
Other names
MY Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIMI YEUNG (PRESIDENT)
(212) 935-3212
Entity
Organization
Contact information
Practice address
575 MADISON AVE STE 1503, NEW YORK, NY 10022-2511
(212) 935-3212
Mailing address
575 MADISON AVE STE 1503, NEW YORK, NY 10022-2511
(212) 935-3212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046258
NYS DDS LICENSE
NY
Enumeration date
03/12/2021
Last updated
03/09/2026
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