Organization
BROOKLYN DENTAL PROFESSIONALS
Active
Other names
Brooklyn Dental Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KOGAN D.M.D (OWNER DENTIST)
(718) 486-7600
Entity
Organization
Contact information
Practice address
700 GRAND ST, BROOKLYN, NY 11211-4939
(718) 486-7600
Mailing address
700 GRAND STREET, BROOKLYN, NY 11211-4939
(718) 486-7600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051647
NY
1223G0001X
General Practice Dentistry
Primary
051647
NY
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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