Organization
I.B. DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRYNA BRANETS DDS (PRESIDENT)
(718) 934-0050
Entity
Organization
Contact information
Practice address
1601 GRAVESEND NECK RD, 2ND FLOOR, BROOKLYN, NY 11229-4426
(718) 934-0050
(718) 934-0063
Mailing address
1601 GRAVESEND NECK RD, 2ND FLOOR, BROOKLYN, NY 11229-4426
(718) 934-0050
(718) 934-0063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02941940
—
NY
Enumeration date
04/03/2008
Last updated
04/03/2008
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