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Organization

PRISM DENTAL PC

Active
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Organization

PRISM DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRINGTON O ANDERSON DDS (VICE PRESIDENT)
(718) 434-3900
Entity
Organization

Contact information

Practice address
3304 GLENWOOD ROAD, BROOKLYN, NY 11210
(718) 434-3900
(718) 434-4603
Mailing address
3304 GLENWOOD ROAD, BROOKLYN, NY 11210
(718) 434-3900
(718) 434-4603

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045191
NY

Other

Enumeration date
11/17/2006
Last updated
04/12/2013
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