| Moonlight Smile Dental Pc | |
|
3064 Coney Island Ave Ste 1a Brooklyn NY 11235-6475 | |
| (718) 975-7364 | |
| (718) 975-7365 |
| Full Name | Moonlight Smile Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3064 Coney Island Ave Ste 1a, Brooklyn, New York |
| Authorized Official Name and Position | David Hasbani (MANAGER) |
| Authorized Official Contact | 7183397773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlight Smile Dental Pc 3064 Coney Island Ave Ste 1a Brooklyn NY 11235-6475 Ph: (718) 975-7364 | Moonlight Smile Dental Pc 3064 Coney Island Ave Ste 1a Brooklyn NY 11235-6475 Ph: (718) 975-7364 |
| NPI Number | 1558909655 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558909655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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