Organization
DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA FUZAYLOVA DDS (OWNER OF CORPORATION)
(718) 490-2846
Entity
Organization
Contact information
Practice address
120 NASSAU AVE, BROOKLYN, NY 11222-4024
(718) 490-2846
Mailing address
6909 138TH ST, APT#2C, FLUSHING, NY 11367-1603
(718) 490-2846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052818
NY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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