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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
Update your record

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