Woodside Family Dental Pllc

NPI #1205009826 in Woodside, New York

Provider Information

NPI Number: 1205009826
Entity Type: Organization
Organization Name: Woodside Family Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 3, 2008
Last Updated: Apr 3, 2008

Practice Location

Address: 5903 ROOSEVELT AVE
City: Woodside
State: New York
ZIP Code: 11377-3546
Phone: (718) 651-7700

Authorized Official

Name: DR. AMBER CHU, DDS
Title: PRESIDENT
Phone: (718) 651-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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