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Organization

REFUAH FAMILY DENTAL P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OMID ARASTEHMANESH (DENTIST (D.D.S))
(718) 435-3400
Entity
Organization

Contact information

Practice address
5407 13TH AVE, BROOKLYN, NY 11219-4128
(718) 435-3400
(718) 436-9098
Mailing address
5407 13TH AVE, BROOKLYN, NY 11219-4128

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223P0300X
Periodontics
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01739188
NY
01
1530931
UNITED CONCORDIA
NY
Enumeration date
09/17/2008
Last updated
09/17/2008
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