| Demo Dental, P.c. | |
|
792 Flushing Ave Brooklyn NY 11206-4106 | |
| (718) 443-5500 | |
| (718) 443-5501 |
| Full Name | Demo Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 792 Flushing Ave, Brooklyn, New York |
| Authorized Official Name and Position | David Zilbert (ADMINISTRATOR) |
| Authorized Official Contact | 7184435500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demo Dental, P.c. 792 Flushing Ave Brooklyn NY 11206-4106 Ph: (718) 443-5500 | Demo Dental, P.c. 792 Flushing Ave Brooklyn NY 11206-4106 Ph: (718) 443-5500 |
| NPI Number | 1295892735 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295892735 | NPI | - | NPPES |
| 01662679 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 046369 (New York) | Primary |
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