| Pacific Dental Care, P.c. | |
|
105 Smith St Brooklyn NY 11201-5773 | |
| (347) 628-7548 | |
| Not Available |
| Full Name | Pacific Dental Care, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Smith St, Brooklyn, New York |
| Authorized Official Name and Position | Ivan Nichoals Chaplik (OWNER) |
| Authorized Official Contact | 3476287548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Care, P.c. 621 Avenue Z Apt 5k Brooklyn NY 11223-6327 Ph: () - | Pacific Dental Care, P.c. 105 Smith St Brooklyn NY 11201-5773 Ph: (347) 628-7548 |
| NPI Number | 1306901095 |
|---|---|
| Provider Enumeration Date | 12/25/2006 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306901095 | NPI | - | NPPES |
| 02736583 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052098 (New York) | Primary |
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