| Ga Dental Pc | |
|
1745 E 12 St Apt 3 R Brooklyn NY 11229 | |
| (718) 801-2151 | |
| Not Available |
| Full Name | Ga Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1745 E 12 St, Brooklyn, New York |
| Authorized Official Name and Position | Genrietta Arakelova (PRESIDENT) |
| Authorized Official Contact | 7188012151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Dental Pc 1745 E 12th St Apt 4g Brooklyn NY 11229-1035 Ph: (718) 801-2151 | Ga Dental Pc 1745 E 12 St Apt 3 R Brooklyn NY 11229 Ph: (718) 801-2151 |
| NPI Number | 1154585057 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154585057 | NPI | - | NPPES |
| 02553973 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050970 (New York) | Primary |
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