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Organization

F&A SUPERIOR DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLA ROKEEN DDS (PARTNER)
(718) 934-0409
Entity
Organization

Contact information

Practice address
3705 NOSTRAND AVE, BROOKLYN, NY 11235
(718) 934-0409
(718) 934-6944
Mailing address
3705 NOSTRAND AVE, BROOKLYN, NY 11235
(718) 934-0409
(718) 934-6944

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0477601
NY
207Q00000X
Family Medicine Physician
Primary
0478461
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02213312
NY
Enumeration date
02/02/2006
Last updated
08/20/2013
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