Organization
TOOTH FAIRY ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIA YANG DMD (OWNER)
(617) 571-1067
Entity
Organization
Contact information
Practice address
4125 KISSENA BLVD STE 117, FLUSHING, NY 11355-3150
(718) 321-9700
Mailing address
4125 KISSENA BLVD STE 117, FLUSHING, NY 11355-3150
(718) 321-9700
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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