MEDICARE: A PLUS PLUS FLATBUSH DENTAL 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1245361898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS PLUS FLATBUSH DENTAL CARE, P.C.

Provider Business Mailing Address
First Line	:	301 ORIENTAL BLVD APT 2B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4143
Country	:	US
Telephone Number	:	718-646-2828
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 WILLOUGHBY ST
Second Line	:	4TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5232
Country	:	US
Telephone Number	:	718-646-2828
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VICTORIA SHKLOVSKY
Credential	:
Telephone Number	:	718-646-2828

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	09/28/2009

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