Organization
21ST CENTURY DENTAL OF CANARSIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E WANK DDS (DENTIST)
(718) 241-1203
Entity
Organization
Contact information
Practice address
9715 AVENUE L, SECOND FLOOR, BROOKLYN, NY 11236-4431
(718) 241-1203
(212) 220-0202
Mailing address
9715 AVENUE L, SECOND FLOOR, BROOKLYN, NY 11236-4431
(718) 241-1203
(212) 220-0202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
040328
NY
Other
Enumeration date
08/13/2014
Last updated
03/21/2017
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