Organization
KINGS SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL FIKHMAN DDS (DENTIST)
(718) 382-5005
Entity
Organization
Contact information
Practice address
457 KINGS HWY, BROOKLYN, NY 11223-1803
(718) 382-5005
(718) 382-6963
Mailing address
457 KINGS HWY, BROOKLYN, NY 11223-1803
(718) 382-5005
(718) 382-6963
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435212
—
NY
01
—
1437132784
PERSONAL NPI
NY
Enumeration date
04/11/2007
Last updated
02/01/2008
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