Organization
BROOKLYN DENTAL HOME PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL AMINOV (DIRECTOR)
(516) 512-3164
Entity
Organization
Contact information
Practice address
3755 82ND ST FL 2, JACKSON HEIGHTS, NY 11372-7031
(718) 703-7500
Mailing address
2120 OCEAN AVE, BROOKLYN, NY 11229-1426
(718) 645-1588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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