| Gentle Dental | |
|
4711 Church Ave 2nd Floor, Dental Suite Brooklyn NY 11203-3209 | |
| (718) 485-4111 | |
| Not Available |
| Full Name | Gentle Dental |
|---|---|
| Speciality | Dentist |
| Location | 4711 Church Ave, Brooklyn, New York |
| Authorized Official Name and Position | Robert Fatakhov (OWNER) |
| Authorized Official Contact | 7184854111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental 4711 Church Ave 2nd Floor, Dental Suite Brooklyn NY 11203-3209 Ph: (718) 485-4111 | Gentle Dental 4711 Church Ave 2nd Floor, Dental Suite Brooklyn NY 11203-3209 Ph: (718) 485-4111 |
| NPI Number | 1295266930 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295266930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054434 (New York) | Primary |
| 122300000X | Dentist | 051345 (New York) | Secondary |
News Archive
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› Verified 8 days ago
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