Organization
BROOKLYN PERIODONTICS AND IMPLANT DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ZIDILE D.D.S. (PERIODONTIST)
(718) 643-1953
Entity
Organization
Contact information
Practice address
185 MONTAGUE ST, 9TH FLOOR, BROOKLYN, NY 11201-3600
(718) 643-1953
Mailing address
185 MONTAGUE ST, 9TH FLOOR, BROOKLYN, NY 11201-3600
(718) 643-1953
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
052187
NY
Other
Enumeration date
04/17/2009
Last updated
10/01/2013
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