Organization
M&G DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE GUILLEN DDS. (DENTIST)
(718) 832-1194
Entity
Organization
Contact information
Practice address
759 - 4TH AVE, BROOKLYN, NY 11232
(718) 832-1194
(718) 369-6831
Mailing address
759 - 4TH AVE, BROOKLYN, NY 11232
(718) 832-1194
(718) 369-6831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045832
NY
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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