Organization
AVENUE D DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MEDINA (RCM MANAGER)
(718) 763-0505
Entity
Organization
Contact information
Practice address
4401 AVENUE D, BROOKLYN, NY 11203-5725
(718) 451-1888
Mailing address
4401 AVENUE D, BROOKLYN, NY 11203-5725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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