Smilealign Orthodontics | |
1680 E 19th St Brooklyn NY 11229-1312 | |
(718) 336-7190 | |
(718) 645-2024 |
Full Name | Smilealign Orthodontics |
---|---|
Speciality | Dentist |
Location | 1680 E 19th St, Brooklyn, New York |
Authorized Official Name and Position | Theodore Sami Wohl (DENTIST) |
Authorized Official Contact | 7183367190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smilealign Orthodontics 1680 E 19th St Brooklyn NY 11229-1312 Ph: (718) 336-7190 | Smilealign Orthodontics 1680 E 19th St Brooklyn NY 11229-1312 Ph: (718) 336-7190 |
NPI Number | 1053665414 |
---|---|
Provider Enumeration Date | 11/06/2012 |
Last Update Date | 11/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053665414 | NPI | - | NPPES |
1306926464 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 046387-1 (New York) | Primary |
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