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Organization
MOONLIGHT SMILE DENTAL PC
Active
Organization
MOONLIGHT SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HASBANI DDS (MANAGER)
(718) 339-7773
Entity
Organization
Contact information
Practice address
3064 CONEY ISLAND AVE STE 1A, BROOKLYN, NY 11235-6475
(718) 975-7364
(718) 975-7365
Mailing address
3064 CONEY ISLAND AVE STE 1A, BROOKLYN, NY 11235-6475
(718) 975-7364
(718) 975-7365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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