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General NPI Number Information
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NPI Number | 1487553376
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Entity Type | Organization
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Legal Business Name | EASTERN DENTAL CARE PLLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 1140 EASTERN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11213-4108
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Country | US
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Telephone | 718-916-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BRIDLE PATH DR
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City | OLD WESTBURY
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State | NY
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Zip | 11568-1607
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | KAILASH KAUR
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Credential | DMD
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Telephone | 718-916-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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