| Modern Dental Pc | |
|
272 9th Street Brooklyn NY 11215 | |
| (718) 832-3700 | |
| (718) 832-2851 |
| Full Name | Modern Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 272 9th Street, Brooklyn, New York |
| Authorized Official Name and Position | Aleksey Novakmov (DENTIST) |
| Authorized Official Contact | 7188323700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Pc 272 9th Street Brooklyn NY 11215 Ph: (718) 832-3700 | Modern Dental Pc 272 9th Street Brooklyn NY 11215 Ph: (718) 832-3700 |
| NPI Number | 1144413261 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144413261 | NPI | - | NPPES |
| 01701899 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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