Organization
BLUE BAY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENXIA ZHOU DDS, PHD (OWNER)
(718) 888-9118
Entity
Organization
Contact information
Practice address
13620 38TH AVE STE 8D, FLUSHING, NY 11354-4232
(718) 888-9118
(718) 888-0508
Mailing address
13620 38TH AVE STE 8D, FLUSHING, NY 11354-4232
(718) 888-9118
(718) 888-0508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03242697
—
NY
Enumeration date
12/14/2010
Last updated
12/14/2010
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