Organization
PLAZA ENDODONTIC GRP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOEL FISHMAN DDS (PRESIDENT)
(718) 377-4884
Entity
Organization
Contact information
Practice address
2215 HENDRICKSON STREET, PLAZA ENDODONTIC GROUP PC, BROOKLYN, NY 11234-5130
(718) 377-4884
(718) 377-1063
Mailing address
2215 HENDRICKSON STREET, PLAZA ENDODONTIC GROUP PC, BROOKLYN, NY 11234-5130
(718) 377-4884
(718) 377-1063
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
029156
NY
Other
Enumeration date
10/25/2006
Last updated
04/04/2012
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