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Wanyun Xue Dental P.C.

Clinic/Center, Dental in Brooklyn, NY. Organization (NPI-2).

NPI number1366092850
StatusActive
Last updated in NPPESDec 6, 2022

Details

NPI
1366092850
Entity type
Organization (NPI-2)
Legal business name
Wanyun Xue Dental P.C.
Organization subpart
No
Enumeration date
Sep 17, 2019
Certification date
Dec 6, 2022
Last updated
Dec 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Carroll Gardens Pediatric Dentistry (Doing Business As)

Practice location

396 Court St
Brooklyn, NY 11231-4206

Phone 718-852-3793

Mailing address

93 Rapelye St Apt 2a
Brooklyn, NY 11231-2629

Phone 718-852-3793

Authorized official

Wanyun Xue
Owner
7188523793

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