| Carroll Gardens Pediatric Dentistry | |
|
396 Court St Brooklyn NY 11231-4206 | |
| (718) 852-3793 | |
| Not Available |
| Full Name | Carroll Gardens Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 396 Court St, Brooklyn, New York |
| Authorized Official Name and Position | Wanyun Xue (OWNER) |
| Authorized Official Contact | 7188523793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Gardens Pediatric Dentistry 93 Rapelye St Apt 2a Brooklyn NY 11231-2629 Ph: (718) 852-3793 | Carroll Gardens Pediatric Dentistry 396 Court St Brooklyn NY 11231-4206 Ph: (718) 852-3793 |
| NPI Number | 1366092850 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366092850 | NPI | - | NPPES |
| 054410-1 | Other | NY | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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