Organization
BRILLIANT SMILES DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN Y ABDELWAHAB DDS (PRESIDENT)
(718) 693-9811
Entity
Organization
Contact information
Practice address
820 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 693-9811
(718) 693-2577
Mailing address
820 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 693-9811
(718) 693-2577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046446
NY
Other
Enumeration date
03/12/2008
Last updated
01/13/2009
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