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Organization
TALA DENTAL CARE,P.C.
Active
Organization
TALA DENTAL CARE,P.C.
Active
Parent organization
TALA DENTAL CARE, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALA DENTAL CARE, P.C.
Authorized official
DR. NATALIYA I SAFONOVA DDS (PRESIDENT)
(718) 376-1090
Entity
Organization
Contact information
Practice address
2211 OCEAN AVE., FIRST FLOOR, BROOKLYN, NY 11229-2303
(718) 376-1090
Mailing address
2211 OCEAN AVE., FIRST FLOOR, BROOKLYN, NY 11229-2303
(718) 376-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
046621
NY
1223G0001X
General Practice Dentistry
Primary
046621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01705691
—
NY
Enumeration date
04/17/2007
Last updated
08/26/2010
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