| Ac Dental Pllc. | |
|
612 60th St Brooklyn NY 11220-4101 | |
| (646) 247-7367 | |
| Not Available |
| Full Name | Ac Dental Pllc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 612 60th St, Brooklyn, New York |
| Authorized Official Name and Position | Angela Lo (DENTIST) |
| Authorized Official Contact | 6462477367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ac Dental Pllc. 612 60th St Brooklyn NY 11220-4101 Ph: (646) 247-7367 | Ac Dental Pllc. 612 60th St Brooklyn NY 11220-4101 Ph: (646) 247-7367 |
| NPI Number | 1093922114 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093922114 | NPI | - | NPPES |
| 01751239 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 047068 (New York) | Primary |
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