21st Centurydental Cosmetic Health P.C
Dentist, General Practice in Brooklyn, NY. Organization (NPI-2).
NPI number1720357726
StatusActive
Last updated in NPPESDec 20, 2011
Details
- NPI
- 1720357726
- Entity type
- Organization (NPI-2)
- Legal business name
- 21st Centurydental Cosmetic Health P.C
- Organization subpart
- No
- Enumeration date
- Dec 20, 2011
- Last updated
- Dec 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 047141 | NY | Yes |
| 1223G0001X | Dentist, General Practice | 043066 | NY | |
| 1223G0001X | Dentist, General Practice | 046985 | NY |
Practice location
738 Broadway2nd Floor
Brooklyn, NY 11206-4403
Phone 718-384-2662 · Fax 718-384-6408
Mailing address
738 BroadwayBrooklyn, NY 11206-4403
Phone 718-384-2662 · Fax 718-384-6408
Authorized official
Shahryar Sedgh
President
7183842662
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