Organization
LUXURY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM FIRDMAN SR. (PRESIDENT)
(718) 648-6969
Entity
Organization
Contact information
Practice address
1724 AVE Z, BROOKLYN, NY 11235-3615
(718) 648-6969
(718) 368-1342
Mailing address
1724 AVENUE Z, BROOKLYN, NY 11235-3615
(718) 648-6969
(718) 368-1342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047847
NY
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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