Executive Dental Care Pc

NPI 1073788717 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1073788717
Enumeration Date 04/24/2008
Last Updated 04/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JAMES M JAMES
Position GENERAL DENTIST/OWNER
Phone (718) 748-6847
Fax
Practice Location
8011 FIFTH AVENUE
2ND FLOOR
BROOKLYN NY, 11209, US
Phone (718) 748-6847
Fax
Business Location
8011 FIFTH AVENUE
2ND FLOOR
BROOKLYN NY, 11209, US
Phone (718) 748-6847
Fax
Toxanomy
Taxonomy Code 305R00000X
License State New York
License Number 036639
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According to our database, Executive Dental Care Pc NPI is 1073788717, taxonomy code is 305R00000X and license number is 036639, license state is located at New York. Executive Dental Care Pc physically located at 8011 Fifth Avenue, Brooklyn NY, 11209. NPI Number 1033115704 has the healthcare provider type.

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1073788717 NPI number is provided on an as is basis without warranty of any kind. 1073788717 is maintained by the National Plan & Provider Enumeration System. The contents of Executive Dental Care Pc are for informational purposes only.