FOURTH AVENUE DENTAL NPI 1881993392

NPI Information

FOURTH AVENUE DENTAL is an oral and maxillofacial surgery dentist in Brooklyn, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FOURTH AVENUE DENTAL NPI is 1881993392. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5404 4TH AVE
BROOKLYN, NY
ZIP 11220-006
Phone: (718) 439-2876
Fax: (718) 439-2879

The provider's authorized official is Andrew Maron .
The authorized official title is Dentist and has the following contact phone number (718) 439-2876.

The enumeration date for this NPI number is 3/23/2011 and was last updated on 8/7/2012.

Taxonomy Codes

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