A. Maskell D.d.s. And S.maskell D.d.s., P.c. | |
722 Broadway Brooklyn NY 11206-4403 | |
(718) 387-1365 | |
(718) 486-5733 |
Full Name | A. Maskell D.d.s. And S.maskell D.d.s., P.c. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 722 Broadway, Brooklyn, New York |
Authorized Official Name and Position | Alan Maskell (PRESIDENT) |
Authorized Official Contact | 7183871365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A. Maskell D.d.s. And S.maskell D.d.s., P.c. 722 Broadway Brooklyn NY 11206-4403 Ph: (718) 387-1365 | A. Maskell D.d.s. And S.maskell D.d.s., P.c. 722 Broadway Brooklyn NY 11206-4403 Ph: (718) 387-1365 |
NPI Number | 1073503215 |
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Provider Enumeration Date | 10/27/2005 |
Last Update Date | 06/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073503215 | NPI | - | NPPES |
00904650 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 026738 (New York) | Primary |
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