Bay Ridge Smiles
Dentist, Pediatric Dentistry in Brooklyn, NY. Organization (NPI-2).
NPI number1003245697
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1003245697
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Ridge Smiles
- Organization subpart
- No
- Enumeration date
- Nov 5, 2013
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
9012 5th AveBrooklyn Smiles
Brooklyn, NY 11209-5908
Phone 718-333-5898
Mailing address
9012 5th AvenueBrooklyn Smiles
Brooklyn, NY 11209
Phone 718-333-5898
Authorized official
Mohamed A-Janabi
Owner
7183335898
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