Organization
MITRA DENTAL CONSULTANT PLLC
Active
Other names
essesmile Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEMASEH NASSEH MD (PRESIDENT)
(973) 454-7820
Entity
Organization
Contact information
Practice address
32A PEARL ST, BROOKLYN, NY 11201-1262
(347) 441-0999
Mailing address
3905 61ST ST FL 2, WOODSIDE, NY 11377-3566
(718) 577-5058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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