| Brilliant Dental, Pc | |
|
837 58th St 6th Floor Brooklyn NY 11220-3662 | |
| (718) 686-9888 | |
| (718) 686-9889 |
| Full Name | Brilliant Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 837 58th St, Brooklyn, New York |
| Authorized Official Name and Position | Mitchell Yeh (PRESIDENT) |
| Authorized Official Contact | 9176603685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dental, Pc 837 58th St 6th Floor Brooklyn NY 11220-3662 Ph: (718) 686-9888 | Brilliant Dental, Pc 837 58th St 6th Floor Brooklyn NY 11220-3662 Ph: (718) 686-9888 |
| NPI Number | 1598993610 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598993610 | NPI | - | NPPES |
| 1487746475 | Other | NPI, INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052424-1 (New York) | Primary |
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