Willoughby Dental P.c.

NPI #1225364425 in Brooklyn, New York

Provider Information

NPI Number: 1225364425
Entity Type: Organization
Organization Name: Willoughby Dental P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 22, 2009
Last Updated: Oct 22, 2009

Practice Location

Address: 135 LAWRENCE ST
Address 2: 2ND FLOOR
City: Brooklyn
State: New York
ZIP Code: 11201-5208
Phone: (718) 237-7888

Authorized Official

Name: DR. EZRA TRACHTENBERG, DMD
Title: PRESIDENT
Phone: (718) 237-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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