OrganizationActive
99 Nassau Ave Dental PLLC
NPI 1922509348 · Dental Clinic/Center · Brooklyn, NY
Provider details
- NPI number
- 1922509348
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rafael Boruchov, Owner(718) 507-7781
- License
- 056907 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
99 Nassau Ave
Brooklyn, NY 11222-3082
Phone: (718) 383-0024
Approximate (ZIP-level) locationGet directions
Mailing address
11620 Queens Blvd
Forest Hills, NY 11375-7055
Other names (DBA / former)
- Doing business as
- Dental Made Easy
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.