Organization
QUALITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG CHEREZOV D.D.S. (OWNER)
(718) 256-3144
Entity
Organization
Contact information
Practice address
2626 E 14TH ST, STE 206, BROOKLYN, NY 11235-3966
(718) 256-3144
(718) 256-3181
Mailing address
2626 E 14TH ST, STE 206, BROOKLYN, NY 11235-3966
(718) 256-3144
(718) 256-3181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052615
—
NY
Enumeration date
07/01/2008
Last updated
07/01/2008
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