Organization
SIXTIETH FAMILY DENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN KWON DDS (OWNER)
(585) 358-3388
Entity
Organization
Contact information
Practice address
6019 ROOSEVELT AVE STE 225, WOODSIDE, NY 11377
(585) 358-3388
(585) 358-3399
Mailing address
6019 ROOSEVELT AVE STE 225, WOODSIDE, NY 11377-3537
(585) 358-3388
(585) 358-3399
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51330
NY
Other
Enumeration date
02/28/2018
Last updated
05/16/2018
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