| Kings Highway Dental | |
|
4571 Kings Hwy Brooklyn NY 11234-2025 | |
| (718) 692-4791 | |
| (718) 692-3362 |
| Full Name | Kings Highway Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4571 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Gregory Jerome Haskin (PRESIDENT) |
| Authorized Official Contact | 7186924791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Highway Dental 4571 Kings Hwy Brooklyn NY 11234-2025 Ph: (718) 692-4791 | Kings Highway Dental 4571 Kings Hwy Brooklyn NY 11234-2025 Ph: (718) 692-4791 |
| NPI Number | 1275793317 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275793317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0399641 (New York) | Secondary |
| 261QD0000X | Clinic/center - Dental | 0399641 (New York) | Primary |
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