Organization
SMILE BY DESIGN DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIIA SHUBINA (OFFICE MANAGER)
(718) 265-6699
Entity
Organization
Contact information
Practice address
1603 MCDONALD AVE, BROOKLYN, NY 11230-6310
(718) 265-6699
(718) 228-7522
Mailing address
1603 MCDONALD AVE, BROOKLYN, NY 11230-6310
(718) 265-6699
(718) 228-7522
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03190585
—
NY
Enumeration date
06/05/2017
Last updated
07/21/2022
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