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Organization
MAKS DENTAL PLLC
Active
Organization
MAKS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENRICH SHVARTS D.D.S. (OWNER)
(917) 291-0416
Entity
Organization
Contact information
Practice address
1270 E 19TH ST, APT. 2A, BROOKLYN, NY 11230-5457
(917) 291-0416
Mailing address
1270 E 19TH ST, APT. 2A, BROOKLYN, NY 11230-5457
(917) 291-0416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047392
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783706
—
NY
Enumeration date
12/27/2007
Last updated
07/31/2008
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