Organization
DITMAS PARK DENTAL, PC
Active
Other names
Flatbush Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR ABDIYEV DDS (PRESIDENT)
(212) 888-9300
Entity
Organization
Contact information
Practice address
1218 FLATBUSH AVE, BROOKLYN, NY 11226-7667
(718) 255-8555
Mailing address
1218 FLATBUSH AVE, BROOKLYN, NY 11226-7667
(718) 255-8555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03034879
—
NY
Enumeration date
04/24/2018
Last updated
04/24/2018
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