Organization
GA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENRIETTA ARAKELOVA DDS (PRESIDENT)
(718) 801-2151
Entity
Organization
Contact information
Practice address
1745 E 12 ST, APT 3 R, BROOKLYN, NY 11229
(718) 801-2151
Mailing address
1745 E 12TH ST, APT 4G, BROOKLYN, NY 11229-1035
(718) 801-2151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050970
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02553973
—
NY
Enumeration date
07/10/2008
Last updated
07/10/2008
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