Organization
8TH AVENUE FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAI-MING KEVIN YOUNG DDS (OWNER/PRESIDENT)
(917) 519-6899
Entity
Organization
Contact information
Practice address
837 58TH ST FL 1, BROOKLYN, NY 11220-3609
(718) 686-8886
Mailing address
837 58TH ST FL 1, BROOKLYN, NY 11220-3609
(917) 519-6899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02299287
—
NY
Enumeration date
01/29/2008
Last updated
08/30/2009
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