# SETH L MALTZ DDS PC

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

## Provider details

- **NPI number:** 1417559022
- **Authorized official:** DR. SETH L MALTZ DDS (PRESIDENT)
- **Authorized official phone:** (646) 295-3432

## Contact information

- **Practice address:** 955 PENNSYLVANIA AVE, BROOKLYN, NY 11207-8416
- **Practice address phone:** (718) 272-8300
- **Practice address fax:** (718) 272-3978
- **Mailing address:** 123 LAUREL LN, LAWRENCE, NY 11559-1421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/10/2020