| 21st Centurydental Cosmetic Health P.c | |
|
738 Broadway 2nd Floor Brooklyn NY 11206-4403 | |
| (718) 384-2662 | |
| (718) 384-6408 |
| Full Name | 21st Centurydental Cosmetic Health P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 738 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Shahryar Sedgh (PRESIDENT) |
| Authorized Official Contact | 7183842662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Centurydental Cosmetic Health P.c 738 Broadway Brooklyn NY 11206-4403 Ph: (718) 384-2662 | 21st Centurydental Cosmetic Health P.c 738 Broadway 2nd Floor Brooklyn NY 11206-4403 Ph: (718) 384-2662 |
| NPI Number | 1720357726 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720357726 | NPI | - | NPPES |
| 1508919820 | Medicaid | NY | |
| 1346470192 | Medicaid | NY | |
| 1851506596 | Medicaid | NY |
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