# SBK DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780053108
- **Authorized official:** DR. ANKUSH KHANNA DMD (ORTHODONTIST/OWNER)
- **Authorized official phone:** (347) 708-9777

## Contact information

- **Practice address:** 385 4TH AVE, UNIT 2, BROOKLYN, NY 11215-3201
- **Practice address phone:** (347) 708-9777
- **Practice address fax:** (347) 708-9774
- **Mailing address:** 385 4TH AVE, UNIT 2, BROOKLYN, NY 11215-3201
- **Mailing address phone:** (347) 708-9777
- **Mailing address fax:** (347) 708-9774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 054655-1 | NY | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015