Organization
DAVID'S DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINSUN DAVID FUNG D.M.D., M.S. (PRESIDENT)
(718) 423-1999
Entity
Organization
Contact information
Practice address
21404 18TH AVE, BAYSIDE, NY 11360-1636
(718) 423-1999
Mailing address
21404 18TH AVE, BAYSIDE, NY 11360-1636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057332
NY
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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