Organization
SBK DENTAL, LLC
Active
Other names
Fresh Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUSH KHANNA DMD (ORTHODONTIST/OWNER)
(347) 708-9777
Entity
Organization
Contact information
Practice address
385 4TH AVE, UNIT 2, BROOKLYN, NY 11215-3201
(347) 708-9777
(347) 708-9774
Mailing address
385 4TH AVE, UNIT 2, BROOKLYN, NY 11215-3201
(347) 708-9777
(347) 708-9774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054655-1
NY
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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