| Kings Smile Dental Pc | |
|
457 Kings Hwy Brooklyn NY 11223-1803 | |
| (718) 382-5005 | |
| (718) 382-6963 |
| Full Name | Kings Smile Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 457 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Mikhail Fikhman (DENTIST) |
| Authorized Official Contact | 7183825005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Smile Dental Pc 457 Kings Hwy Brooklyn NY 11223-1803 Ph: (718) 382-5005 | Kings Smile Dental Pc 457 Kings Hwy Brooklyn NY 11223-1803 Ph: (718) 382-5005 |
| NPI Number | 1710100482 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710100482 | NPI | - | NPPES |
| 01435212 | Medicaid | NY | |
| 1437132784 | Other | NY | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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