| Bronx Community Dental Care Pc | |
|
471 E Tremont Ave Bronx NY 10457-4401 | |
| (718) 618-7612 | |
| Not Available |
| Full Name | Bronx Community Dental Care Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 471 E Tremont Ave, Bronx, New York |
| Authorized Official Name and Position | Oleg Nektalov (PRESIDENT) |
| Authorized Official Contact | 7186187612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Community Dental Care Pc 471 E Tremont Ave Bronx NY 10457-4401 Ph: (718) 618-7612 | Bronx Community Dental Care Pc 471 E Tremont Ave Bronx NY 10457-4401 Ph: (718) 618-7612 |
| NPI Number | 1306113253 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 11/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306113253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054471 (New York) | Primary |
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