Organization
765 DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GOYKHMAN (GENERAL MANAGER)
(718) 307-5660
Entity
Organization
Contact information
Practice address
765 NOSTRAND AVE, BROOKLYN, NY 11216
(718) 307-5660
(917) 737-7945
Mailing address
765 NOSTRAND AVE, BROOKLYN, NY 11216
(718) 307-5660
(917) 737-7945
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
045344
NY
Other
Enumeration date
05/04/2010
Last updated
09/04/2013
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