Organization
MIDWOOD ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYA BERSHADSKY CDA (OFFICE MANAGER)
(718) 336-6112
Entity
Organization
Contact information
Practice address
977 E 12TH ST, BROOKLYN, NY 11230-3666
(718) 336-6112
(347) 462-9337
Mailing address
977 E 12TH ST, BROOKLYN, NY 11230-3666
(718) 336-6112
(347) 462-9337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
028653
NY
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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