Bridge Dental Care, Pllc. | |
375 W Route 59 Spring Valley NY 10977-5339 | |
(845) 356-3353 | |
(834) 356-3376 |
Full Name | Bridge Dental Care, Pllc. |
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Speciality | Dentist |
Location | 375 W Route 59, Spring Valley, New York |
Authorized Official Name and Position | Junsung Ha (MANAGING MEMBER) |
Authorized Official Contact | 8453563353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bridge Dental Care, Pllc. 375 W Route 59 Spring Valley NY 10977-5339 Ph: (845) 356-3353 | Bridge Dental Care, Pllc. 375 W Route 59 Spring Valley NY 10977-5339 Ph: (845) 356-3353 |
NPI Number | 1144631474 |
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Provider Enumeration Date | 05/08/2014 |
Last Update Date | 05/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144631474 | NPI | - | NPPES |
03779288 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 043458-1 (New York) | Primary |
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