Organization
CHURCH AVENUE FAMILY DENTAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARSHID ASSADERAGHI (D.D.S)
(718) 469-6077
Entity
Organization
Contact information
Practice address
1025 CHURCH AVE, BROOKLYN, NY 11218-2711
(718) 469-6077
Mailing address
1025 CHURCH AVE, BROOKLYN, NY 11218-2711
(718) 469-6077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050877
NY
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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