Organization
ALIL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA ILINSKY (PRESIDENT)
(718) 331-3563
Entity
Organization
Contact information
Practice address
1747 BAY RIDGE AVE, BROOKLYN, NY 11204-5016
(718) 331-3563
(718) 256-9110
Mailing address
1747 BAY RIDGE AVE, BROOKLYN, NY 11204-5016
(718) 331-3563
(718) 256-9110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01351115
—
NY
Enumeration date
03/24/2008
Last updated
03/24/2008
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