Organization
BROOKLYN HEIGHTS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LAU (MEMBER)
(718) 875-5437
Entity
Organization
Contact information
Practice address
148 ATLANTIC AVE, BROOKLYN, NY 11201-5586
(718) 875-5437
Mailing address
148 ATLANTIC AVE, BROOKLYN, NY 11201-5586
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049299
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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