Organization
CHURCH AVENUE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE TARANOV DDS (DDS)
(718) 941-7275
Entity
Organization
Contact information
Practice address
1113 CHURCH AVE, 2ND FLOOR, BROOKLYN, NY 11218-2803
(718) 941-7275
(718) 532-0917
Mailing address
1113 CHURCH AVE, 2ND FLOOR, BROOKLYN, NY 11218-2803
(718) 941-7275
(718) 532-0917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049110-1
NY
Other
Enumeration date
10/20/2005
Last updated
08/22/2020
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