| 21st Century Dental Of Canarsie | |
|
9715 Avenue L Second Floor Brooklyn NY 11236-4431 | |
| (718) 241-1203 | |
| (212) 220-0202 |
| Full Name | 21st Century Dental Of Canarsie |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9715 Avenue L, Brooklyn, New York |
| Authorized Official Name and Position | Daniel E Wank (DENTIST) |
| Authorized Official Contact | 7182411203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Century Dental Of Canarsie 9715 Avenue L Second Floor Brooklyn NY 11236-4431 Ph: (718) 241-1203 | 21st Century Dental Of Canarsie 9715 Avenue L Second Floor Brooklyn NY 11236-4431 Ph: (718) 241-1203 |
| NPI Number | 1316356520 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316356520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 040328 (New York) | Primary |
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