Organization
VICTORIA DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIYA SHORMAN (DDS)
(718) 633-7135
Entity
Organization
Contact information
Practice address
4224 18TH AVE, BROOKLYN, NY 11218-5720
(718) 633-7135
(718) 437-1119
Mailing address
4224 18TH AVE, BROOKLYN, NY 11218-5720
(718) 633-7135
(718) 437-1119
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072737
—
NY
Enumeration date
05/26/2011
Last updated
05/26/2011
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