Individual
DR. SEAN ADAM MASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
722 BROADWAY, BROOKLYN, NY 11206-4403
(718) 387-1365
(718) 486-5733
Mailing address
722 BROADWAY, BROOKLYN, NY 11206-4403
(718) 387-1365
(718) 486-5733
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
048012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911480
—
NY
Enumeration date
10/27/2005
Last updated
05/31/2012
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