Organization
COZINE DENTAL GROUP PC
Active
Other names
Cozine Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRENDRA SHAH D.D.S. (GENERAL DENTIST)
(718) 649-1398
Entity
Organization
Contact information
Practice address
190 COZINE AVE GROUND FLOOR, BROOKLYN, NY 11207
(718) 649-1398
(718) 272-4688
Mailing address
190 COZINE AVE GROUND FLOOR, BROOKLYN, NY 11207
(718) 649-1398
(718) 272-4688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03387506
—
NY
Enumeration date
04/27/2012
Last updated
05/15/2019
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