| Caribbean Dental Associates | |
|
509 Willis Ave Bronx NY 10455-4001 | |
| (718) 292-8966 | |
| Not Available |
| Full Name | Caribbean Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 Willis Ave, Bronx, New York |
| Authorized Official Name and Position | Ruben Dario Moronta (PRESIDENT) |
| Authorized Official Contact | 7182928966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caribbean Dental Associates 509 Willis Ave Bronx NY 10455-4001 Ph: (718) 292-8966 | Caribbean Dental Associates 509 Willis Ave Bronx NY 10455-4001 Ph: (718) 292-8966 |
| NPI Number | 1538353222 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538353222 | NPI | - | NPPES |
| 02154974 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048538 (New York) | Primary |
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