| Southwest Brooklyn Dental Practice, Pllc | |
|
476 48th St 3rd Floor Brooklyn NY 11220-6844 | |
| (347) 377-4485 | |
| (718) 630-8714 |
| Full Name | Southwest Brooklyn Dental Practice, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 476 48th St, Brooklyn, New York |
| Authorized Official Name and Position | Bernard Tolpin (PRESIDENT) |
| Authorized Official Contact | 7186306866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Brooklyn Dental Practice, Pllc 150 55th St Brooklyn NY 11220-2508 Ph: (347) 911-4485 | Southwest Brooklyn Dental Practice, Pllc 476 48th St 3rd Floor Brooklyn NY 11220-6844 Ph: (347) 377-4485 |
| NPI Number | 1396138053 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396138053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 107698 (New York) | Primary |
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