Organization
MIDWOOD DENTAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN BRODY DDS (OWNER)
(718) 434-3131
Entity
Organization
Contact information
Practice address
3215 AVENUE H APT 1C, BROOKLYN, NY 11210-3216
(718) 434-3131
Mailing address
3215 AVENUE H APT 1C, BROOKLYN, NY 11210-3216
(718) 434-3131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00979662
—
NY
Enumeration date
05/11/2007
Last updated
08/22/2020
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