| Crown Dental, Pllc | |
|
604 Castle Hill Ave Bronx NY 10473-1402 | |
| (718) 239-6929 | |
| (718) 239-8602 |
| Full Name | Crown Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 604 Castle Hill Ave, Bronx, New York |
| Authorized Official Name and Position | Heejoon Kwak (DENTIST) |
| Authorized Official Contact | 7182396929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Dental, Pllc 604 Castle Hill Ave Bronx NY 10473-1402 Ph: (718) 239-6929 | Crown Dental, Pllc 604 Castle Hill Ave Bronx NY 10473-1402 Ph: (718) 239-6929 |
| NPI Number | 1467708958 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467708958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051024-1 (New York) | Primary |
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