Organization
EMMANUIL TEPER DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUIL S TEPER DDS (OWNER)
(646) 643-7440
Entity
Organization
Contact information
Practice address
1310 AVENUE R, SUITE 1D, BROOKLYN, NY 11229-2853
(718) 676-1689
(718) 676-1690
Mailing address
1310 AVENUE R, SUITE 1D, BROOKLYN, NY 11229-2853
(718) 676-1689
(718) 676-1690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02189242
—
NY
Enumeration date
08/05/2014
Last updated
08/05/2014
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