Organization
CELEBRITY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALYA ORLOVA DDS (PRESIDENT)
(718) 290-4114
Entity
Organization
Contact information
Practice address
4081 OCEAN AVE, BROOKLYN, NY 11235-3714
(718) 290-4114
Mailing address
4081 OCEAN AVE, BROOKLYN, NY 11235-3714
(718) 290-4114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685656
—
NY
Enumeration date
11/20/2009
Last updated
11/20/2009
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