Organization
J. GHARDA DENTAL P.L.L.C.
Active
Other names
Prime Dental Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JAMSHED GHARDA DMD (CEO)
(718) 743-6680
Entity
Organization
Contact information
Practice address
2614 AVENUE U, BROOKLYN, NY 11229-5010
(718) 743-6680
(718) 743-0729
Mailing address
2614 AVENUE U, BROOKLYN, NY 11229-5010
(718) 743-6680
(718) 743-0729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01892328
—
NY
Enumeration date
01/03/2019
Last updated
08/15/2019
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