Organization
ATLANTIC DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRIJ GOUZ D.D.S. (BUSINESS OWNER)
(718) 643-9010
Entity
Organization
Contact information
Practice address
502A ATLANTIC AVE, BROOKLYN, NY 11217-1813
(718) 643-9010
(718) 643-9020
Mailing address
502A ATLANTIC AVE, BROOKLYN, NY 11217-1813
(718) 643-9010
(718) 643-9020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050644-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02405356
—
NY
Enumeration date
03/21/2008
Last updated
03/21/2008
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