| NPI | 1225209828 |
|---|---|
| Other Name | JACKSON HEIGHTS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLENE S LAU Owner 718-898-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045627) |
| Enumeration Date | 2008-03-22 |
| Last Update Date | 2009-03-13 |