| Midcity Dental Group | |
|
2101 Kings Hwy Brooklyn NY 11229-1509 | |
| (718) 951-2261 | |
| (718) 951-2018 |
| Full Name | Midcity Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2101 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Iosif Uvaydov (PRESIDENT) |
| Authorized Official Contact | 7189512261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midcity Dental Group 2101 Kings Hwy Brooklyn NY 11229-1509 Ph: (718) 951-2261 | Midcity Dental Group 2101 Kings Hwy Brooklyn NY 11229-1509 Ph: (718) 951-2261 |
| NPI Number | 1760607493 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760607493 | NPI | - | NPPES |
| 02338829 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044283 (New York) | Primary |
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