Individual
CHRISTINA SEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21435 42ND AVE, BAYSIDE, NY 11361-2993
(718) 352-5582
Mailing address
21435 42ND AVE, BAYSIDE, NY 11361-2993
(718) 352-5582
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060811-01
NY
Other
Enumeration date
06/06/2016
Last updated
09/25/2020
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