| M M Dental Pc | |
|
50 Shore Blvd Lobby Brooklyn NY 11235-4057 | |
| (718) 769-9777 | |
| (718) 769-9777 |
| Full Name | M M Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 50 Shore Blvd, Brooklyn, New York |
| Authorized Official Name and Position | Mark Meyler (PRESIDENT) |
| Authorized Official Contact | 7187699777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M M Dental Pc 50 Shore Blvd Lobby Brooklyn NY 11235-4057 Ph: (718) 769-9777 | M M Dental Pc 50 Shore Blvd Lobby Brooklyn NY 11235-4057 Ph: (718) 769-9777 |
| NPI Number | 1003892381 |
|---|---|
| Provider Enumeration Date | 12/19/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003892381 | NPI | - | NPPES |
| 01452368 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044784 (New York) | Primary |
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