Organization
BELL BLVD. DENTAL, P.C.
Active
Other names
Harvardian Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUN S SONG DDS,MMSC (DENTIST)
(718) 281-2222
Entity
Organization
Contact information
Practice address
46-01 BELL BLVD, BAYSIDE, NY 11361
(718) 281-2222
(718) 281-2822
Mailing address
46-01 BELL BLVD., BAYSIDE, NY 11361
(718) 281-2222
(718) 281-2822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
047747
NY
1223G0001X
General Practice Dentistry
054688
NY
1223P0300X
Periodontics
Primary
048211
NY
1223P0700X
Prosthodontics
048958
NY
Other
Enumeration date
05/11/2007
Last updated
10/03/2011
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