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Contact Information

21ST CENTURYDENTAL COSMETIC HEALTH P.C
738 BROADWAY
2ND FLOOR
BROOKLYN, NY11206-4403
 Phone: 718-384-2662
 Fax: 718-384-6408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 21ST CENTURYDENTAL COSMETIC HEALTH PC · (Female)

NPI Number 1720357726
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2011
Last updated 12/20/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 043066
  • NY License # 046985
  • NY License # 047141
  • NY Medicaid 1346470192
  • NY Medicaid 1508919820
  • NY Medicaid 1851506596
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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