Organization
BRIGHT SMILE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM KHRAKOVSKY (OWNER)
(718) 449-5559
Entity
Organization
Contact information
Practice address
2791 W 5TH ST, BROOKLYN, NY 11224
(718) 449-5559
(718) 449-2893
Mailing address
2791 W 5TH ST, BROOKLYN, NY 11224-4624
(718) 449-5559
(718) 449-2893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/07/2009
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