Organization
DENTAL STAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR A POTEPALOV (DENTIST)
(718) 368-1800
Entity
Organization
Contact information
Practice address
726 AVENUE Z, BROOKLYN, NY 11223-6322
(718) 368-1800
(732) 972-7705
Mailing address
726 AVENUE Z, BROOKLYN, NY 11223-6322
(718) 368-1800
(732) 972-7705
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
051368
NY
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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