| Prism Dental Pc | |
|
3304 Glenwood Road Brooklyn NY 11210 | |
| (718) 434-3900 | |
| (718) 434-4603 |
| Full Name | Prism Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3304 Glenwood Road, Brooklyn, New York |
| Authorized Official Name and Position | Barrington O Anderson (VICE PRESIDENT) |
| Authorized Official Contact | 7184343900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Dental Pc 3304 Glenwood Road Brooklyn NY 11210 Ph: (718) 434-3900 | Prism Dental Pc 3304 Glenwood Road Brooklyn NY 11210 Ph: (718) 434-3900 |
| NPI Number | 1215000955 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 04/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215000955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045191 (New York) | Primary |
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