Organization
BRIGHTON DENTAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MUSHEYEV DDS (PARTNER)
(718) 366-0070
Entity
Organization
Contact information
Practice address
3019 BRIGHTON 1ST ST, BROOKLYN, NY 11235-8008
(718) 366-0070
Mailing address
3019 BRIGHTON 1ST ST, BROOKLYN, NY 11235-8008
(718) 366-0070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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