Brooklyn Bright Smile Dental, Pc | |
2020 Cortelyou Rd Fl 1 Brooklyn NY 11226-5904 | |
(917) 696-1614 | |
Not Available |
Full Name | Brooklyn Bright Smile Dental, Pc |
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Speciality | Dentist |
Location | 2020 Cortelyou Rd Fl 1, Brooklyn, New York |
Authorized Official Name and Position | Abdiyev Arthur (OWNER) |
Authorized Official Contact | 9176961614 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brooklyn Bright Smile Dental, Pc 2020 Cortelyou Rd Fl 1 Brooklyn NY 11226-5904 Ph: (917) 696-1614 | Brooklyn Bright Smile Dental, Pc 2020 Cortelyou Rd Fl 1 Brooklyn NY 11226-5904 Ph: (917) 696-1614 |
NPI Number | 1144524976 |
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Provider Enumeration Date | 01/09/2011 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144524976 | NPI | - | NPPES |
0539461 | Other | NY | STATE LICENSE |
03034879 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0539461 (New York) | Primary |
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