| Bay Ridge Smiles | |
|
9012 5th Ave Brooklyn Smiles Brooklyn NY 11209-5908 | |
| (718) 333-5898 | |
| Not Available |
| Full Name | Bay Ridge Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9012 5th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Mohamed A-janabi (OWNER) |
| Authorized Official Contact | 7183335898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Ridge Smiles 9012 5th Avenue Brooklyn Smiles Brooklyn NY 11209 Ph: (718) 333-5898 | Bay Ridge Smiles 9012 5th Ave Brooklyn Smiles Brooklyn NY 11209-5908 Ph: (718) 333-5898 |
| NPI Number | 1003245697 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003245697 | NPI | - | NPPES |
| 02955860 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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