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Organization
TRUMP VILLAGE DENTAL P.C.
Active
Organization
TRUMP VILLAGE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV RIPA D.D.S, PH.D. (OWNER)
(718) 946-8585
Entity
Organization
Contact information
Practice address
520 NEPTUNE AVE, BROOKLYN, NY 11224-4004
(718) 946-8585
(718) 946-3230
Mailing address
520 NEPTUNE AVE, BROOKLYN, NY 11224-4004
(718) 946-8585
(718) 946-3230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02227829
—
NY
Enumeration date
10/23/2007
Last updated
10/23/2007
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