Executive Dental Care PC
NPI #1073788717 in Brooklyn, New York
Provider Information
- NPI Number
- 1073788717
- Entity Type
- Organization
- Organization Name
- Executive Dental Care PC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Apr 24, 2008
- Last Updated
- Apr 24, 2008
Practice Location
Authorized Official
- Name
- DR. JAMES M WALLETT, D.D.S.
- Title
- GENERAL DENTIST/OWNER
- Phone
- (718) 748-6847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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