Organization
ALFA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA BOGOMOLOVA DDS (PRESIDENT)
(718) 332-2532
Entity
Organization
Contact information
Practice address
2792 OCEAN AVE, SUITE 1, BROOKLYN, NY 11229-4708
(718) 332-2532
Mailing address
2792 OCEAN AVE, SUITE 1, BROOKLYN, NY 11229-4708
(718) 332-2532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052096
NY
Other
Enumeration date
08/09/2009
Last updated
08/09/2009
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