Jonathan S. Waltner Dds Pc | |
390 Berry St Ste B Brooklyn NY 11249-6086 | |
(718) 218-7210 | |
(718) 218-7387 |
Full Name | Jonathan S. Waltner Dds Pc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 390 Berry St Ste B, Brooklyn, New York |
Authorized Official Name and Position | Jonathan Waltner (OWNER) |
Authorized Official Contact | 7182187210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jonathan S. Waltner Dds Pc 390 Berry St Ste B Brooklyn NY 11249-6086 Ph: (718) 218-7210 | Jonathan S. Waltner Dds Pc 390 Berry St Ste B Brooklyn NY 11249-6086 Ph: (718) 218-7210 |
NPI Number | 1457960072 |
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Provider Enumeration Date | 07/29/2020 |
Last Update Date | 07/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457960072 | NPI | - | NPPES |
02606040 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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