| Tala Dental Care,p.c. | |
|
2211 Ocean Ave. First Floor Brooklyn NY 11229-2303 | |
| (718) 376-1090 | |
| Not Available |
| Full Name | Tala Dental Care,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2211 Ocean Ave., Brooklyn, New York |
| Authorized Official Name and Position | Nataliya I Safonova (PRESIDENT) |
| Authorized Official Contact | 7183761090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tala Dental Care,p.c. 2211 Ocean Ave. First Floor Brooklyn NY 11229-2303 Ph: (718) 376-1090 | Tala Dental Care,p.c. 2211 Ocean Ave. First Floor Brooklyn NY 11229-2303 Ph: (718) 376-1090 |
| NPI Number | 1265658488 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265658488 | NPI | - | NPPES |
| 01705691 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046621 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 046621 (New York) | Primary |
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