Organization
FLATBUSH DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA FREYBERG D.D.S. (PRESIDENT)
(917) 519-3772
Entity
Organization
Contact information
Practice address
789 FLATBUSH AVE, BROOKLYN, NY 11226-1903
(718) 693-5455
Mailing address
789 FLATBUSH AVE, BROOKLYN, NY 11226-1903
(718) 693-5455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049033
NY
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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