Organization
CHIA-HUNG YUAN DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIA-HUNG YUAN D.D.S (OWNER/DENTIST)
(646) 522-7483
Entity
Organization
Contact information
Practice address
136-20 38TH AVE.,, SUITE 5C, FLUSHING, NY 11354
(718) 661-1189
Mailing address
136-20 38TH AVE.,, SUITE 5C, FLUSHING, NY 11354
(718) 661-1189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02856619
—
NY
Enumeration date
11/19/2013
Last updated
11/19/2013
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