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General NPI Number Information
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NPI Number | 1871946046
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Entity Type | Organization
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Legal Business Name | BROOKLYN HEIGHTS ORAL SURGERY PLLC
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 32 COURT ST SUITE 1100
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City | BROOKLYN
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State | NY
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Zip | 11201-4421
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Country | US
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Telephone | 718-575-1010
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Fax | 718-575-1015
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Provider Business Mailing Address
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Address Line | 32 COURT ST SUITE 1100
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City | BROOKLYN
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State | NY
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Zip | 11201-4421
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Country | US
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Telephone | 718-575-1010
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Fax | 718-575-1015
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Authorized Official
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Title or Position | OWNER
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Name | DR. DMITRIY TOKAR
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Credential | DDS
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Telephone | 718-575-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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