Organization
BROOKLYN ORTHODONTICS
Active
Organization
BROOKLYN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AL-JANABI DDS (OWNER)
(718) 333-5898
Entity
Organization
Contact information
Practice address
9012 5TH AVE, BROOKLYN, NY 11209-5908
(718) 333-5898
Mailing address
9012 5TH AVE, BROOKLYN, NY 11209-5908
(718) 333-5898
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
056648
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
271533
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
053152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03169913
—
NY
Enumeration date
10/17/2013
Last updated
10/17/2013
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