Organization
BROOKLYN DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAIM KLEIN D.D.S. (OWNER)
(718) 946-0500
Entity
Organization
Contact information
Practice address
2270 OCEAN AVE, SUITE 1D, BROOKLYN, NY 11229-3038
(718) 946-0500
(718) 339-4810
Mailing address
PO BOX 300414, BROOKLYN, NY 11230-0414
(718) 946-0500
(718) 339-4810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02189568
—
NY
Enumeration date
02/05/2014
Last updated
02/05/2014
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