Modern E Dental
NPI #1104090471 in Little Neck, New York
Provider Information
- NPI Number
- 1104090471
- Entity Type
- Organization
- Organization Name
- Modern E Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Apr 17, 2008
Practice Location
- Address
- 4823 LITTLE NECK PKWY
- City
- Little Neck
- State
- New York
- ZIP Code
- 11362-1432
- Phone
- (718) 281-1282
Authorized Official
- Name
- DR. GRACE E SHIN, D.D.S
- Title
- DENTIST
- Phone
- (718) 281-1282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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