Organization
DOUBLE CARE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIYA CHUDINOVA DDS (PRESIDENT)
(718) 339-1811
Entity
Organization
Contact information
Practice address
2200 OCEAN AVENUE, SUITE 1 U, BROOKLYN, NY 11229-2249
(718) 339-1811
(718) 339-1811
Mailing address
2200 OCEAN AVENUE, SUITE 1 U, BROOKLYN, NY 11229-2249
(718) 339-1811
(718) 627-6843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01789922
—
NY
01
—
D000598
MHS AMERICHOCE
NY
Enumeration date
02/21/2007
Last updated
03/07/2023
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