Dental Care of Ridgewood, P.c.

NPI #1578701835 in Ridgewood, New York

Provider Information

NPI Number
1578701835
Entity Type
Organization
Organization Name
Dental Care of Ridgewood, P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 25, 2009
Last Updated
Jan 25, 2009

Practice Location

Address
5647 MYRTLE AVE
ZIP Code
11385-4744
Phone
(718) 417-6300

Authorized Official

Name
DR. MARIYA MAMKIN, DDS
Title
RESPONSIBLE PARTY
Phone
(718) 417-6300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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