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NPI Code Detail

MEDICARE: ZOLOTAR DENTAL CARE

MEDICARE: ZOLOTAR DENTAL CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1861214595
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZOLOTAR DENTAL CARE
Provider Business Mailing Address
First Line : 1711 NEWKIRK AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6613
Country : US
Telephone Number : 718-797-2880
Fax Number : 718-797-2885
Provider Business Practice Location Address
First Line : 1711 NEWKIRK AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6613
Country : US
Telephone Number : 718-797-2880
Fax Number : 718-797-2885
Authorized Official
Title or Position : DENTIST
Name : REGINA SAVCHUK
Credential :
Telephone Number : 718-797-2880
Provider Enumeration Date : 10/24/2024
Last Update Date : 10/24/2024

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Directions to “ZOLOTAR DENTAL CARE ” Practice Location

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