Organization
MIDCITY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IOSIF UVAYDOV DDS (PRESIDENT)
(718) 951-2261
Entity
Organization
Contact information
Practice address
2101 KINGS HWY, BROOKLYN, NY 11229-1509
(718) 951-2261
(718) 951-2018
Mailing address
2101 KINGS HWY, BROOKLYN, NY 11229-1509
(718) 951-2261
(718) 951-2018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02338829
—
NY
Enumeration date
04/16/2007
Last updated
11/26/2007
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