| Healthy Teeth Dental Pc | |
|
3060 Ocean Ave Suite Ln Brooklyn NY 11235-3310 | |
| (718) 615-2272 | |
| Not Available |
| Full Name | Healthy Teeth Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 3060 Ocean Ave, Brooklyn, New York |
| Authorized Official Name and Position | Alexander Lezhansky (PRESIDENT) |
| Authorized Official Contact | 7186152272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Teeth Dental Pc 3060 Ocean Ave Suit Ln Brooklyn NY 11235-3310 Ph: (718) 615-2272 | Healthy Teeth Dental Pc 3060 Ocean Ave Suite Ln Brooklyn NY 11235-3310 Ph: (718) 615-2272 |
| NPI Number | 1255699187 |
|---|---|
| Provider Enumeration Date | 04/28/2012 |
| Last Update Date | 04/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255699187 | NPI | - | NPPES |
| 02662999 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052119 (New York) | Primary |
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