Organization
ALL BRIGHTDENTAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIX KANTILAL SHROFF D.D.S. (OWNER)
(718) 343-3300
Entity
Organization
Contact information
Practice address
26309 UNION TPKE, FLORAL PARK, NY 11004-1354
(718) 343-3300
(718) 343-3324
Mailing address
26309 UNION TPKE, FLORAL PARK, NY 11004-1354
(718) 343-3300
(718) 343-3324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881683167
—
NY
Enumeration date
10/03/2006
Last updated
08/22/2020
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