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Organization
NYC FAMILY DENTAL CARE P.C.
Active
Organization
NYC FAMILY DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLIY KONOVALOV D.M.D (PRESIDENT)
(718) 975-4475
Entity
Organization
Contact information
Practice address
3002 MERMAID AVENUE, BROOKLYN, NY 11224-2256
(718) 975-4475
(718) 975-4477
Mailing address
3002 MERMAID AVENUE, BROOKLYN, NY 11224-2256
(718) 975-4475
(718) 975-4477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054967
NY
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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