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Organization
MG DENTAL PC
Active
Organization
MG DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GEYLIKMAN DDS (PRESIDENT)
(718) 646-6646
Entity
Organization
Contact information
Practice address
2415 AVENUE U, BROOKLYN, NY 11229-4905
(718) 646-6646
Mailing address
2415 AVENUE U, BROOKLYN, NY 11229-4905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050146
NY
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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