Organization
FLUSHING DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED A. EL BASTY DDS, MS. (PRESIDENT)
(718) 387-8992
Entity
Organization
Contact information
Practice address
745 FLUSHING AVE., BROOKLYN, NY 11206
(718) 387-8992
(718) 532-0231
Mailing address
745 FLUSHING AVE., BROOKLYN, NY 11206
(718) 387-8992
(718) 532-0231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00763373
—
NY
Enumeration date
06/26/2009
Last updated
06/26/2009
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