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Organization
MAGIC TOUCH DENTAL PC
Active
Organization
MAGIC TOUCH DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA LADYZHENSKAYA DDS (PRESIDENT)
(718) 714-7000
Entity
Organization
Contact information
Practice address
8520 20 AVE, 2 FLOOR, BROOKLYN, NY 11214
(718) 714-7000
(718) 714-0268
Mailing address
8520 20TH AVE STE 2, BROOKLYN, NY 11214-3260
(718) 714-7000
(718) 714-0268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02199993
—
NY
Enumeration date
03/20/2008
Last updated
03/20/2008
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