Serenity Laser Dental Pc | |
3065 Nostrand Ave Brooklyn NY 11229-2643 | |
(718) 251-5858 | |
(718) 209-9862 |
Full Name | Serenity Laser Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 3065 Nostrand Ave, Brooklyn, New York |
Authorized Official Name and Position | Alexander Kirzhner (OWNER/DENTIST) |
Authorized Official Contact | 7182515858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Laser Dental Pc 3065 Nostrand Ave Brooklyn NY 11229-2643 Ph: (718) 251-5858 | Serenity Laser Dental Pc 3065 Nostrand Ave Brooklyn NY 11229-2643 Ph: (718) 251-5858 |
NPI Number | 1184022816 |
---|---|
Provider Enumeration Date | 12/11/2014 |
Last Update Date | 12/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184022816 | NPI | - | NPPES |
01062133 | Medicaid | NY | |
1770661696 | Other | NY | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 039890 (New York) | Primary |
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