Church Avenue Dental P.c. | |
1113 Church Ave 2nd Floor Brooklyn NY 11218-2803 | |
(718) 941-7275 | |
(718) 532-0917 |
Full Name | Church Avenue Dental P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1113 Church Ave, Brooklyn, New York |
Authorized Official Name and Position | Steve Taranov (DDS) |
Authorized Official Contact | 7189417275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Church Avenue Dental P.c. 1113 Church Ave 2nd Floor Brooklyn NY 11218-2803 Ph: (718) 941-7275 | Church Avenue Dental P.c. 1113 Church Ave 2nd Floor Brooklyn NY 11218-2803 Ph: (718) 941-7275 |
NPI Number | 1134118219 |
---|---|
Provider Enumeration Date | 10/20/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134118219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049110-1 (New York) | Primary |
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