| Mighty Smiles Llc | |
|
837 59th St Fl 3 Brooklyn NY 11220-3611 | |
| (718) 680-8881 | |
| (718) 680-7880 |
| Full Name | Mighty Smiles Llc |
|---|---|
| Speciality | Dentist |
| Location | 837 59th St Fl 3, Brooklyn, New York |
| Authorized Official Name and Position | Simon Wong (PRESIDENT) |
| Authorized Official Contact | 9178853757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mighty Smiles Llc 837 59th St Fl 3 Brooklyn NY 11220-3611 Ph: (718) 680-8881 | Mighty Smiles Llc 837 59th St Fl 3 Brooklyn NY 11220-3611 Ph: (718) 680-8881 |
| NPI Number | 1306454475 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306454475 | NPI | - | NPPES |
| 02165608 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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