Ocean-side Dental P.c. | |
3260 Coney Island Ave Unit A4 Brooklyn NY 11235-6643 | |
(718) 891-0021 | |
(718) 891-4946 |
Full Name | Ocean-side Dental P.c. |
---|---|
Speciality | Dentist |
Location | 3260 Coney Island Ave, Brooklyn, New York |
Authorized Official Name and Position | Irina Goncharuk (PRISIDENT) |
Authorized Official Contact | 7189080464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ocean-side Dental P.c. 3260 Coney Island Ave Unit A4 Brooklyn NY 11235-6643 Ph: (718) 891-0021 | Ocean-side Dental P.c. 3260 Coney Island Ave Unit A4 Brooklyn NY 11235-6643 Ph: (718) 891-0021 |
NPI Number | 1104352012 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104352012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 049909-1 (New York) | Primary |
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