Organization
G DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TONG (OWNER)
(917) 310-4558
Entity
Organization
Contact information
Practice address
2918 W 10TH ST STE 5, GREELEY, CO 80634-5457
(970) 673-8411
Mailing address
3231 43RD ST, ASTORIA, NY 11103-2703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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