Organization
AK AVC 'U' DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT EZRA KADAA DDS (PRESIDENT OWNER)
(718) 627-3682
Entity
Organization
Contact information
Practice address
428 AVENUE U, BROOKLYN, NY 11223-4049
(718) 627-3682
(718) 627-3683
Mailing address
428 AVENUE U, BROOKLYN, NY 11223-4049
(718) 627-3682
(718) 627-3683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877747
—
NY
Enumeration date
12/20/2005
Last updated
08/22/2020
Update your record
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