| Kings Plaza Dental Pc | |
|
5412 Kings Plaza Mall Brooklyn NY 11234 | |
| (718) 258-0011 | |
| (718) 258-1405 |
| Full Name | Kings Plaza Dental Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5412 Kings Plaza Mall, Brooklyn, New York |
| Authorized Official Name and Position | Alexander Mikhailov (PRESIDENT) |
| Authorized Official Contact | 7182580011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Plaza Dental Pc 5412 Kings Plaza Mall Brooklyn NY 11234 Ph: (718) 258-0011 | Kings Plaza Dental Pc 5412 Kings Plaza Mall Brooklyn NY 11234 Ph: (718) 258-0011 |
| NPI Number | 1114938164 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114938164 | NPI | - | NPPES |
| 02683732 | Medicaid | NY |
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