# 21ST CENTURY DENTAL OF CANARSIE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316356520
- **Authorized official:** DR. DANIEL E WANK DDS (DENTIST)
- **Authorized official phone:** (718) 241-1203

## Contact information

- **Practice address:** 9715 AVENUE L, SECOND FLOOR, BROOKLYN, NY 11236-4431
- **Practice address phone:** (718) 241-1203
- **Practice address fax:** (212) 220-0202
- **Mailing address:** 9715 AVENUE L, SECOND FLOOR, BROOKLYN, NY 11236-4431
- **Mailing address phone:** (718) 241-1203
- **Mailing address fax:** (212) 220-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 040328 | NY | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 03/21/2017