Aesthetic And Implant Dental Arts | |
7825 4th Ave Brooklyn NY 11209-3711 | |
(718) 745-0179 | |
Not Available |
Full Name | Aesthetic And Implant Dental Arts |
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Speciality | Dentist - Prosthodontics |
Location | 7825 4th Ave, Brooklyn, New York |
Authorized Official Name and Position | Joseph Maniscalco (OWNER) |
Authorized Official Contact | 7187450179 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aesthetic And Implant Dental Arts 7825 4th Ave Brooklyn NY 11209-3711 Ph: (718) 745-0179 | Aesthetic And Implant Dental Arts 7825 4th Ave Brooklyn NY 11209-3711 Ph: (718) 745-0179 |
NPI Number | 1902343874 |
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Provider Enumeration Date | 01/30/2017 |
Last Update Date | 01/30/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902343874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50-050579 (New York) | Secondary |
1223P0700X | Dentist - Prosthodontics | 50-050579 (New York) | Primary |
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