Provider Demographics
NPI:1417342585
Name:T-WELL DENTAL CARE P.C.
Entity Type:Organization
Organization Name:T-WELL DENTAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDUO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:1718-321-0890
Mailing Address - Street 1:14220 FRANKLIN AVE
Mailing Address - Street 2:SUITE LC
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2640
Mailing Address - Country:US
Mailing Address - Phone:718-321-0890
Mailing Address - Fax:718-321-1803
Practice Address - Street 1:14220 FRANKLIN AVE
Practice Address - Street 2:SUITE LC
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2640
Practice Address - Country:US
Practice Address - Phone:718-321-0890
Practice Address - Fax:718-321-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-05
Last Update Date:2015-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057352261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental