Organization
NYC DENTAL GROUP PLLC
Active
Other names
DNTL
Organization subpart
No
Provider details
NPI number
Authorized official
SEMYON TILIS DDS (PRESIDENT)
(347) 487-4888
Entity
Organization
Contact information
Practice address
401 76TH ST STE 1A, BROOKLYN, NY 11209-3215
(347) 487-4888
(347) 524-6886
Mailing address
401 76TH ST STE 1A, BROOKLYN, NY 11209-3215
(347) 487-4888
(347) 524-6886
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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