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Organization

BAY RIDGE SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED A-JANABI DDS (OWNER)
(718) 333-5898
Entity
Organization

Contact information

Practice address
9012 5TH AVE, BROOKLYN SMILES, BROOKLYN, NY 11209-5908
(718) 333-5898
Mailing address
9012 5TH AVENUE, BROOKLYN SMILES, BROOKLYN, NY 11209
(718) 333-5898

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02955860
NY
Enumeration date
11/05/2013
Last updated
04/20/2022
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