| Mar Co Dental Pc | |
|
401 Ditmas Ave Medical Dental Plaza Brooklyn NY 11218 | |
| (718) 972-1644 | |
| (718) 871-6368 |
| Full Name | Mar Co Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 Ditmas Ave, Brooklyn, New York |
| Authorized Official Name and Position | Mark Chernomerdik (PRESIDENT) |
| Authorized Official Contact | 7189721644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mar Co Dental Pc 219 Whitman Dr Mar Co Dental Pc Brooklyn NY 11234 Ph: (718) 972-1644 | Mar Co Dental Pc 401 Ditmas Ave Medical Dental Plaza Brooklyn NY 11218 Ph: (718) 972-1644 |
| NPI Number | 1801962436 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801962436 | NPI | - | NPPES |
| 00823703 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 038264 (New York) | Primary |
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