| Brigth Smile Dentistry | |
|
6240 Woodhaven Blvd Apt #10 Rego Park NY 11374-3733 | |
| (718) 424-4818 | |
| (718) 424-4613 |
| Full Name | Brigth Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6240 Woodhaven Blvd, Rego Park, New York |
| Authorized Official Name and Position | Magdy Tadros (OWNER) |
| Authorized Official Contact | 7184244818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brigth Smile Dentistry 6240 Woodhaven Blvd Apt #10 Rego Park NY 11374-3733 Ph: (718) 424-4818 | Brigth Smile Dentistry 6240 Woodhaven Blvd Apt #10 Rego Park NY 11374-3733 Ph: (718) 424-4818 |
| NPI Number | 1306392584 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306392584 | NPI | - | NPPES |
| 03706645 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 056415 (New York) | Primary |
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