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NPI Code Detail

MEDICARE: AVE U DENTAL HEALTH CARE P.C.

MEDICARE: AVE U DENTAL HEALTH CARE P.C.
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
11223G0001XGeneral Practice Dentistry050312NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225209984
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVE U DENTAL HEALTH CARE P.C.
Provider Business Mailing Address
First Line : 2415 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4905
Country : US
Telephone Number : 718-646-6646
Fax Number :
Provider Business Practice Location Address
First Line : 2415 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4905
Country : US
Telephone Number : 718-646-6646
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LANA BUNIS
Credential : DDS
Telephone Number : 718-646-6646
Provider Enumeration Date : 03/20/2008
Last Update Date : 03/20/2008

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Directions to “AVE U DENTAL HEALTH CARE P.C. ” Practice Location

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