| My Smiles Dental Pc | |
|
2101 Bay Ridge Pkwy # C Brooklyn NY 11204-5955 | |
| (212) 332-6996 | |
| Not Available |
| Full Name | My Smiles Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2101 Bay Ridge Pkwy # C, Brooklyn, New York |
| Authorized Official Name and Position | Grigoriy Yusupov (OWNER) |
| Authorized Official Contact | 7182326996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Smiles Dental Pc 2101 Bay Ridge Pkwy # C Brooklyn NY 11204-5955 Ph: (212) 332-6996 | My Smiles Dental Pc 2101 Bay Ridge Pkwy # C Brooklyn NY 11204-5955 Ph: (212) 332-6996 |
| NPI Number | 1164194874 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164194874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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