| 5th Avenue Dental Assoc Llp | |
|
7815 5th Ave Brooklyn NY 11209-3703 | |
| (718) 745-4422 | |
| (718) 745-8558 |
| Full Name | 5th Avenue Dental Assoc Llp |
|---|---|
| Speciality | Dentist |
| Location | 7815 5th Ave, Brooklyn, New York |
| Authorized Official Name and Position | George Diacoumakos (OWNER) |
| Authorized Official Contact | 7187454422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5th Avenue Dental Assoc Llp 7815 5th Ave Brooklyn NY 11209-3703 Ph: (718) 745-4422 | 5th Avenue Dental Assoc Llp 7815 5th Ave Brooklyn NY 11209-3703 Ph: (718) 745-4422 |
| NPI Number | 1184742298 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184742298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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› Verified 8 days ago
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