Organization
DECENT DENTAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYENDRA AMBALAL PANCHAL DDS (PRESIDENT)
(718) 492-9211
Entity
Organization
Contact information
Practice address
5801 5TH AVE, BROOKLYN, NY 11220-3819
(718) 492-0086
(718) 569-9055
Mailing address
5801 5TH AVE, BROOKLYN, NY 11220-3819
(718) 492-0086
(718) 569-9055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00838106
—
NY
Enumeration date
05/09/2007
Last updated
08/22/2020
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