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Organization
BROOKLYN PERIODONTICS AND IMPLANT DENTISTRY, P.C.
Active
Organization
BROOKLYN PERIODONTICS AND IMPLANT DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ZIDILE D.D.S. (PERIODONTIST)
(718) 643-1953
Entity
Organization
Contact information
Practice address
185 MONTAGUE ST, 9TH FLOOR, BROOKLYN, NY 11201-3600
(718) 643-1953
Mailing address
185 MONTAGUE ST, 9TH FLOOR, BROOKLYN, NY 11201-3600
(718) 643-1953
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
052187
NY
Other
Enumeration date
04/17/2009
Last updated
10/01/2013
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