| Blooming Dental Pllc | |
|
150 E 58th St 8th Floor Annex New York NY 10155-0002 | |
| (646) 861-2404 | |
| Not Available |
| Full Name | Blooming Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 150 E 58th St, New York, New York |
| Authorized Official Name and Position | Maria Marcial (DENTIST) |
| Authorized Official Contact | 6468612404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Dental Pllc 16411 Crocheron Ave Flushing NY 11358-2015 Ph: (646) 861-2404 | Blooming Dental Pllc 150 E 58th St 8th Floor Annex New York NY 10155-0002 Ph: (646) 861-2404 |
| NPI Number | 1104189430 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104189430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047318 (New York) | Primary |
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