Organization
ATLANTIC TERMINAL DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS KRASNOV (OWNER)
(718) 622-6100
Entity
Organization
Contact information
Practice address
ATLANTIC TERMINAL MALL, 139 FLATBUSH AVENUE, BROOKLYN, NY 11217
(718) 622-6100
(718) 622-7637
Mailing address
ATLANTIC TERMINAL MALL, 139 FLATBUSH AVENUE, BROOKLYN, NY 11217
(718) 622-6100
(718) 622-7637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046043
NY
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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