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Organization

ADVANCED DENTISTRY FOR U

Active
Parent organization
ADVANCED DENTISTRY FOR U
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED DENTISTRY FOR U
Authorized official
DR. YOUVAL MELAMED DDS (DENTIST)
(718) 946-1200
Entity
Organization

Contact information

Practice address
2084 WEST 6TH ST, BROOKLYN, NY 11223
(718) 946-1200
(718) 946-1204
Mailing address
2084 WEST 6TH ST, BROOKLYN, NY 11223
(718) 946-1200
(718) 946-1204

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052319
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02694966
NY
Enumeration date
06/26/2008
Last updated
06/26/2008
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