| Bp Dentistry For Kids Pc | |
|
5309 18th Ave 2nd Floor Brooklyn NY 11204-1523 | |
| (718) 644-0287 | |
| Not Available |
| Full Name | Bp Dentistry For Kids Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5309 18th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Elliot Lutz (VICE PRESIDENT) |
| Authorized Official Contact | 3472442914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bp Dentistry For Kids Pc 5309 18th Ave 2nd Floor Brooklyn NY 11204-1523 Ph: (718) 644-0287 | Bp Dentistry For Kids Pc 5309 18th Ave 2nd Floor Brooklyn NY 11204-1523 Ph: (718) 644-0287 |
| NPI Number | 1861944043 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861944043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 057648 (New York) | Primary |
| 261QD0000X | Clinic/center - Dental | 057524 (New York) | Secondary |
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