| Double Care Dental Pc | |
|
2200 Ocean Avenue Suite 1 U Brooklyn NY 11229-2249 | |
| (718) 339-1811 | |
| (718) 339-1811 |
| Full Name | Double Care Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 2200 Ocean Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Sofiya Chudinova (PRESIDENT) |
| Authorized Official Contact | 7183391811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Double Care Dental Pc 2200 Ocean Avenue Suite 1 U Brooklyn NY 11229-2249 Ph: (718) 339-1811 | Double Care Dental Pc 2200 Ocean Avenue Suite 1 U Brooklyn NY 11229-2249 Ph: (718) 339-1811 |
| NPI Number | 1154466746 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154466746 | NPI | - | NPPES |
| 01789922 | Medicaid | NY | |
| D000598 | Other | NY | MHS AMERICHOCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047382 (New York) | Primary |
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