Organization
NASSAU DENTAL PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFI KATANOV (MANAGER)
(718) 298-3334
Entity
Organization
Contact information
Practice address
4522 18TH AVE, BROOKLYN, NY 11204-1323
(718) 298-3334
(516) 538-8988
Mailing address
4522 18TH AVE, BROOKLYN, NY 11204-1323
(718) 298-3334
(516) 538-8988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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