Organization
AAA BRIGHTON DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADIY TSIBELMAN DDS (PRESIDENT)
(718) 946-9520
Entity
Organization
Contact information
Practice address
123 BRIGHTON BEACH AVE FL 2, BROOKLYN, NY 11235-8001
(718) 946-9520
(718) 946-9240
Mailing address
123 BRIGHTON BEACH AVE FL 2, BROOKLYN, NY 11235-8001
(718) 946-9520
(718) 946-9240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01599742
—
NY
Enumeration date
02/13/2007
Last updated
11/10/2008
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