Organization
500 OCEAN DENTAL,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID MESAMED (PRESIDENT)
(917) 815-8112
Entity
Organization
Contact information
Practice address
29 COVE LN, APT 5C, BROOKLYN, NY 11234-5846
(917) 815-8112
Mailing address
29 COVE LN, APT 5C, BROOKLYN, NY 11234-5846
(917) 815-8112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226520
—
NY
Enumeration date
05/15/2007
Last updated
09/27/2013
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