Organization
AVALON DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY YE DDS (PRESIDENT)
(347) 338-8652
Entity
Organization
Contact information
Practice address
20103 NORTHERN BLVD FL 1, FLUSHING, NY 11361-2563
(646) 436-8470
Mailing address
20103 NORTHERN BLVD FL 1, FLUSHING, NY 11361-2563
(347) 338-8652
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
12/13/2020
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