Organization
COMMUNITY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATYANA NIYAZOV DDS (PRESIDENT)
(718) 282-7400
Entity
Organization
Contact information
Practice address
1809 NOSTRAND AVE, BROOKLYN, NY 11226
(718) 282-7400
(718) 282-7488
Mailing address
1809 NOSTRAND AVE, BROOKLYN, NY 11226
(718) 282-7400
(718) 282-7488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
068293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02321557
—
NY
Enumeration date
11/01/2006
Last updated
09/08/2008
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