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Organization
MAR CO DENTAL PC
Active
Organization
MAR CO DENTAL PC
Active
Parent organization
MAR CO DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAR CO DENTAL PC
Authorized official
MARK CHERNOMERDIK DDS (PRESIDENT)
(718) 972-1644
Entity
Organization
Contact information
Practice address
401 DITMAS AVE, MEDICAL DENTAL PLAZA, BROOKLYN, NY 11218
(718) 972-1644
(718) 871-6368
Mailing address
219 WHITMAN DR, MAR CO DENTAL PC, BROOKLYN, NY 11234
(718) 972-1644
(718) 871-6368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00823703
—
NY
Enumeration date
11/27/2006
Last updated
09/06/2013
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