| Canopy Dentistry - Downtown Brooklyn, Pllc | |
|
10 Nevins St Unit 1 Brooklyn NY 11217-4852 | |
| (929) 356-1140 | |
| Not Available |
| Full Name | Canopy Dentistry - Downtown Brooklyn, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 10 Nevins St Unit 1, Brooklyn, New York |
| Authorized Official Name and Position | Erica A. Omoyeni (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 6468420522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canopy Dentistry - Downtown Brooklyn, Pllc 49 Flatbush Ave # 116 Brooklyn NY 11217-1101 Ph: () - | Canopy Dentistry - Downtown Brooklyn, Pllc 10 Nevins St Unit 1 Brooklyn NY 11217-4852 Ph: (929) 356-1140 |
| NPI Number | 1578392775 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578392775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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