| Ronald Deutsen Dds Pc | |
|
1122 Coney Island Ave Brooklyn NY 11230 | |
| (718) 253-2300 | |
| (718) 252-7910 |
| Full Name | Ronald Deutsen Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1122 Coney Island Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ronald Deutsen (PRINCIPAL OWNER/DIRECTOR) |
| Authorized Official Contact | 7182532300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Deutsen Dds Pc 2016 Ave M Brooklyn NY 11210 Ph: (718) 253-2300 | Ronald Deutsen Dds Pc 1122 Coney Island Ave Brooklyn NY 11230 Ph: (718) 253-2300 |
| NPI Number | 1144598590 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144598590 | NPI | - | NPPES |
| 02241858 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 049859 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 049859 (New York) | Secondary |
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