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Organization
MODERN DENTAL PC
Active
Organization
MODERN DENTAL PC
Active
Parent organization
MODERN DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN DENTAL PC
Authorized official
MR. ALEKSEY NOVAKMOV DDS (DENTIST)
(718) 832-3700
Entity
Organization
Contact information
Practice address
272 9TH STREET, BROOKLYN, NY 11215
(718) 832-3700
(718) 832-2851
Mailing address
272 9TH STREET, BROOKLYN, NY 11215
(718) 832-3700
(718) 832-2851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01701899
—
NY
Enumeration date
08/22/2007
Last updated
08/22/2007
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