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Organization
DENTAL CARE OF RIDGEWOOD, P.C.
Active
Organization
DENTAL CARE OF RIDGEWOOD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIYA MAMKIN DDS (RESPONSIBLE PARTY)
(718) 417-6300
Entity
Organization
Contact information
Practice address
5647 MYRTLE AVE, RIDGEWOOD, NY 11385-4744
(718) 417-6300
(718) 417-3535
Mailing address
5647 MYRTLE AVE, RIDGEWOOD, NY 11385-4744
(718) 417-6300
(718) 417-3535
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054039
NY
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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