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Dental Care PLLC

Dentist in Brooklyn, NY. Organization (NPI-2).

NPI number1609009786
StatusActive
Last updated in NPPESAug 24, 2009

Details

NPI
1609009786
Entity type
Organization (NPI-2)
Legal business name
Dental Care PLLC
Organization subpart
No
Enumeration date
Aug 24, 2009
Last updated
Aug 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist052818NYYes

Practice location

120 Nassau Ave
Brooklyn, NY 11222-4024

Phone 718-490-2846

Mailing address

6909 138th St
Apt#2c
Flushing, NY 11367-1603

Phone 718-490-2846

Authorized official

Irina Fuzaylova
Owner Of Corporation
7184902846

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