Organization
DOMINO DENTAL
Active
Other names
LRH Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
KENZA BELHACHMI (OFFICE MANAGER)
(347) 762-0454
Entity
Organization
Contact information
Practice address
121 S 4TH ST, BROOKLYN, NY 11249-5504
(347) 762-0454
Mailing address
121 S 4TH ST, BROOKLYN, NY 11249-5504
(347) 762-0454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/27/2021
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