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Contact Information

BLUESTAR DENTAL CARE
2110 ROCKAWAY PKWY
BROOKLYN, NY11236-5802
 Phone: 718-209-8500
 Fax: 718-942-4582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for BLUESTAR DENTAL CARE · (Female)

NPI Number 1720156870
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2006
Last updated 03/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 047926-1
  • NY License # 049803-1
  • NY License # 049832-1
  • NY Medicaid 02769157
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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