| A. Maskell D.d.s. And S.maskell D.d.s., P.c. | |
|
722 Broadway Brooklyn NY 11206-4403 | |
| (718) 387-1365 | |
| (718) 486-5733 |
| Full Name | A. Maskell D.d.s. And S.maskell D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 722 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Alan Maskell (PRESIDENT) |
| Authorized Official Contact | 7183871365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Maskell D.d.s. And S.maskell D.d.s., P.c. 722 Broadway Brooklyn NY 11206-4403 Ph: (718) 387-1365 | A. Maskell D.d.s. And S.maskell D.d.s., P.c. 722 Broadway Brooklyn NY 11206-4403 Ph: (718) 387-1365 |
| NPI Number | 1073503215 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073503215 | NPI | - | NPPES |
| 00904650 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 026738 (New York) | Primary |
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