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Organization
NK DENTAL PC
Active
Organization
NK DENTAL PC
Active
Other names
BowTie Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA KOKILASHVILI DMD (PRESIDENT)
(929) 300-0702
Entity
Organization
Contact information
Practice address
109 N 12TH ST STE 607, BROOKLYN, NY 11249-1002
(929) 300-0702
(929) 300-0706
Mailing address
109 N 12TH ST STE 607, BROOKLYN, NY 11249-1002
(929) 300-0702
(929) 300-0706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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