Ocean-Side Dental P.c.

NPI #1104352012 in Brooklyn, New York

Provider Information

NPI Number: 1104352012
Entity Type: Organization
Organization Name: Ocean-Side Dental P.c.
Primary Specialty: Dentist
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 3260 CONEY ISLAND AVE
Address 2: UNIT A4
City: Brooklyn
State: New York
ZIP Code: 11235-6643
Phone: (718) 891-0021

Authorized Official

Name: IRINA GONCHARUK, DDS
Title: PRISIDENT
Phone: (718) 908-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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