Healthcare Provider Details

I. General information

NPI: 1861214595
Provider Name (Legal Business Name): ZOLOTAR DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 NEWKIRK AVE STE 1
BROOKLYN NY
11226-6613
US

IV. Provider business mailing address

1711 NEWKIRK AVE STE 1
BROOKLYN NY
11226-6613
US

V. Phone/Fax

Practice location:
  • Phone: 718-797-2880
  • Fax: 718-797-2885
Mailing address:
  • Phone: 718-797-2880
  • Fax: 718-797-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: REGINA SAVCHUK
Title or Position: DENTIST
Credential:
Phone: 718-797-2880