Organization
BRILLIANT DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL YEH D.M.D. (PRESIDENT)
(917) 660-3685
Entity
Organization
Contact information
Practice address
837 58TH ST, 6TH FLOOR, BROOKLYN, NY 11220-3662
(718) 686-9888
(718) 686-9889
Mailing address
837 58TH ST, 6TH FLOOR, BROOKLYN, NY 11220-3662
(718) 686-9888
(718) 686-9889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052424-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487746475
NPI, INDIVIDUAL
—
Enumeration date
06/26/2009
Last updated
06/26/2009
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