Organization
ADVANCED PERIODONTAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART LAWRENCE SEGELNICK D.D.S. (PRESIDENT)
(718) 743-8279
Entity
Organization
Contact information
Practice address
1603 VOORHIES AVE, SECOND FLOOR, BROOKLYN, NY 11235-3959
(718) 743-8279
(718) 743-9145
Mailing address
1603 VOORHIES AVE, SECOND FLOOR, BROOKLYN, NY 11235-3959
(718) 743-8279
(718) 743-9145
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
044106
NY
Other
Enumeration date
03/18/2007
Last updated
08/22/2020
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