Organization
BAYRIDGE FAMILY DENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ALLAOA (OWNER)
(718) 737-2488
Entity
Organization
Contact information
Practice address
8440 FORT HAMILTON PKWY, BROOKLYN, NY 11209-4806
(718) 737-2488
Mailing address
520 79TH ST, BROOKLYN, NY 11209-3710
(718) 737-2488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059626
DENTAL LICENSE
—
Enumeration date
03/29/2019
Last updated
03/29/2019
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