Organization
PURE ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA TAAVAR DDS (OWNER)
(347) 966-6300
Entity
Organization
Contact information
Practice address
1929 AVENUE J, BROOKLYN, NY 11230-3810
(347) 966-6300
Mailing address
1929 AVENUE J, BROOKLYN, NY 11230-3810
(347) 966-6300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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