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Organization
STARS DENTAL P.C.
Active
Organization
STARS DENTAL P.C.
Active
Parent organization
STARS DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARS DENTAL PC
Authorized official
DR. ANGELA LO DDS (DENTIST)
(646) 247-7367
Entity
Organization
Contact information
Practice address
612 60TH ST, BROOKLYN, NY 11220-4101
(718) 567-8283
Mailing address
612 60TH ST, BROOKLYN, NY 11220-4101
(718) 567-8283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751239
—
NY
Enumeration date
05/24/2007
Last updated
03/27/2013
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