Organization
SMILES FOR LIFE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHARAK FOOLADI DDS (PRESIDENT)
(718) 403-0444
Entity
Organization
Contact information
Practice address
4 METROTECH CTR, BROOKLYN, NY 11201-3815
(718) 403-0444
Mailing address
4 METROTECH CTR, BROOKLYN, NY 11201-3815
(718) 403-0444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052402-1
NY
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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