Organization
FRANK MIRHAROON D.D.S GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MIRHAROON D.D.S (PRESIDENT)
(718) 387-0953
Entity
Organization
Contact information
Practice address
722 BROADWAY, BROOKLYN, NY 11206-4403
(718) 387-0953
(718) 302-1940
Mailing address
722 BROADWAY, BROOKLYN, NY 11206-4403
(718) 387-0953
(718) 302-1940
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568414
—
NY
Enumeration date
06/24/2008
Last updated
06/24/2008
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