Organization
FLATBUSH FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAK GRINMAN DDS (PRESIDENT)
(718) 693-5455
Entity
Organization
Contact information
Practice address
789 FLATBUSH AVENUE, BROOKLYN, NY 11226
(718) 693-5455
(718) 693-7337
Mailing address
789 FLATBUSH AVENUE, BROOKLYN, NY 11226
(718) 693-5455
(718) 693-7337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045549
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01512867
—
NY
Enumeration date
01/16/2009
Last updated
03/19/2009
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