Organization
BK SMILING DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY L BLACK DMD (DENTIST/ OWNER)
(717) 395-3144
Entity
Organization
Contact information
Practice address
1035 FULTON ST STE 1, BROOKLYN, NY 11238-5276
(717) 395-3144
Mailing address
1035 FULTON ST., STE 1, PO BOX 380530, BROOKLYN, NY 11238
(717) 395-3144
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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