| Sorriso Dental Care P.c. | |
|
1714 Bath Ave Brooklyn NY 11214-4532 | |
| (718) 256-1500 | |
| (718) 256-3113 |
| Full Name | Sorriso Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1714 Bath Ave, Brooklyn, New York |
| Authorized Official Name and Position | Tatiana Zheleznyak-bronstein (PRESIDENT) |
| Authorized Official Contact | 7182561500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorriso Dental Care P.c. 1714 Bath Ave Brooklyn NY 11214-4532 Ph: (718) 256-1500 | Sorriso Dental Care P.c. 1714 Bath Ave Brooklyn NY 11214-4532 Ph: (718) 256-1500 |
| NPI Number | 1053443432 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053443432 | NPI | - | NPPES |
| 01912110 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 047511 (New York) | Primary |
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