| Kings Dental Pc | |
|
1101 Flatbush Ave Brooklyn NY 11226-2613 | |
| (718) 826-0560 | |
| (718) 826-0579 |
| Full Name | Kings Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 Flatbush Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ludmila Lukovsky (PRESIDENT) |
| Authorized Official Contact | 7188260560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Dental Pc 1101 Flatbush Ave Brooklyn NY 11226-2613 Ph: (718) 826-0560 | Kings Dental Pc 1101 Flatbush Ave Brooklyn NY 11226-2613 Ph: (718) 826-0560 |
| NPI Number | 1457430217 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457430217 | NPI | - | NPPES |
| 01539702 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045473 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 045130 (New York) | Primary |
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