Organization
S.R. DENTAL
Active
Other names
Best Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL RIZK DDS (OWNER/ CLINICAL DIRECTOR)
(646) 248-9368
Entity
Organization
Contact information
Practice address
7502 RIDGE BLVD, BROOKLYN, NY 11209-2942
(718) 745-8500
Mailing address
7502 RIDGE BLVD, BROOKLYN, NY 11209-2942
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
55420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356594
—
NY
Enumeration date
01/30/2017
Last updated
01/30/2017
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