Organization
GAMA DENTAL PC
Active
Other names
gama dental pc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAKSIM KHELEMSKY DDS (PRESIDENT)
(718) 375-9090
Entity
Organization
Contact information
Practice address
270 AVENUE P, BROOKLYN, NY 11204-4947
(718) 375-9090
(718) 375-6618
Mailing address
270 AVENUE P, BROOKLYN, NY 11204-4947
(718) 375-9090
(718) 375-6618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01421021
—
NY
Enumeration date
05/18/2009
Last updated
05/18/2009
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