# DENTAL STAR

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

## Provider details

- **NPI number:** 1366614455
- **Authorized official:** VLADIMIR A POTEPALOV (DENTIST)
- **Authorized official phone:** (718) 368-1800

## Contact information

- **Practice address:** 726 AVENUE Z, BROOKLYN, NY 11223-6322
- **Practice address phone:** (718) 368-1800
- **Practice address fax:** (732) 972-7705
- **Mailing address:** 726 AVENUE Z, BROOKLYN, NY 11223-6322
- **Mailing address phone:** (718) 368-1800
- **Mailing address fax:** (732) 972-7705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 051368 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 03/28/2008