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Organization
TAJ DENTAL LLC
Active
Organization
TAJ DENTAL LLC
Active
Other names
Pasha Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASHA JAVAHERI SAATCHI DMD (OWNER AND PRESIDENT)
(718) 499-6761
Entity
Organization
Contact information
Practice address
633 5TH AVE, BROOKLYN, NY 11215-5434
(718) 499-6761
(718) 499-6762
Mailing address
633 5TH AVE, BROOKLYN, NY 11215-5434
(718) 499-6761
(718) 499-6762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053966
NY
1223P0300X
Periodontics
055710
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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