715 Broadway Dental Services PC

NPI #1285769661 in Brooklyn, New York

Provider Information

NPI Number: 1285769661
Entity Type: Organization
Organization Name: 715 Broadway Dental Services PC
Primary Specialty: Dentist
Enumeration Date: Feb 23, 2007
Last Updated: Sep 9, 2008

Practice Location

Address: 715 BROADWAY
City: Brooklyn
State: New York
ZIP Code: 11206
Phone: (718) 963-3400

Authorized Official

Name: PHILLIP S FRANK, DDS DENTIST
Title: DENTIST
Phone: (718) 963-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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