Organization
HUSSEIN Y ABDELWAHAB, DDS, PC
Active
Other names
brilliance dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J GOMES (ADMINISTRATOR)
(917) 951-5105
Entity
Organization
Contact information
Practice address
3105 CHURCH AVE, SUITE 2, BROOKLYN, NY 11226-4211
(718) 287-1300
(718) 287-5530
Mailing address
3105 CHURCH AVE, SUITE 2, BROOKLYN, NY 11226-4211
(718) 287-1300
(718) 287-5530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01739179
—
NY
Enumeration date
05/30/2007
Last updated
08/22/2020
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