Organization · Type 2 NPI

Georgetowndentalspa LLC

Oral and Maxillofacial Surgery (Dentist) · Brooklyn, NY

NPI number 1194149674 Active

Practice location

2167 Ralph Ave
Brooklyn, NY 11234

Call (718) 676-7700 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X043641 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1194149674

Georgetowndentalspa LLC's National Provider Identifier is 1194149674, issued on Feb 5, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 5, 2014.