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Organization
PARK DENTISTRY
Active
Organization
PARK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA MILITO (OWNER)
(718) 622-7275
Entity
Organization
Contact information
Practice address
55 8TH AVE, BROOKLYN, NY 11217-3912
(718) 622-7275
(718) 622-7276
Mailing address
55 8TH AVE, BROOKLYN, NY 11217-3912
(718) 622-7275
(718) 622-7276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
03/18/2015
Last updated
03/19/2015
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