Organization
GUARDIAN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY YOO DDS (PRESIDENT)
(917) 524-5622
Entity
Organization
Contact information
Practice address
3682 BROADWAY FRNT 1, NEW YORK, NY 10031-1526
(917) 524-5622
Mailing address
3682 BROADWAY FRNT 1, NEW YORK, NY 10031-1526
(917) 524-5622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50-055536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03427369
—
NY
Enumeration date
06/22/2017
Last updated
07/21/2022
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