| 982 Fulton Dental Pllc | |
|
982 Fulton Street Suite B Brooklyn NY 11238 | |
| (646) 504-9519 | |
| Not Available |
| Full Name | 982 Fulton Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 982 Fulton Street, Brooklyn, New York |
| Authorized Official Name and Position | Nieku Manshadi (OWNER) |
| Authorized Official Contact | 9492937357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 982 Fulton Dental Pllc 982 Fulton Street Suite B Brooklyn NY 11238 Ph: () - | 982 Fulton Dental Pllc 982 Fulton Street Suite B Brooklyn NY 11238 Ph: (646) 504-9519 |
| NPI Number | 1730097353 |
|---|---|
| Provider Enumeration Date | 09/01/2026 |
| Last Update Date | 09/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730097353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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