Organization
M M DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MEYLER DDS (PRESIDENT)
(718) 769-9777
Entity
Organization
Contact information
Practice address
50 SHORE BLVD, LOBBY, BROOKLYN, NY 11235-4057
(718) 769-9777
(718) 769-9777
Mailing address
50 SHORE BLVD, LOBBY, BROOKLYN, NY 11235-4057
(718) 769-9777
(718) 769-9777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01452368
—
NY
Enumeration date
12/19/2005
Last updated
08/22/2020
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