Organization
DR. JEFFREY TENENBAUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TENENBAUM DDS (GENERAL DENTIST)
(718) 871-4440
Entity
Organization
Contact information
Practice address
53 CHURCH AVE, BROOKLYN, NY 11218-3040
(718) 871-4440
(718) 633-3198
Mailing address
P.O. BOX- 180026, 53 CHURCH AVE, BROOKLYN, NY 11218-3040
(718) 871-4440
(718) 633-3198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00526229
—
NY
Enumeration date
03/25/2014
Last updated
03/25/2014
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