| Dc Dental Office, P.c. | |
|
2925 Grand Concourse Suite 1a Bronx NY 10468-1707 | |
| (718) 329-4111 | |
| (718) 329-1614 |
| Full Name | Dc Dental Office, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2925 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Damaris A Cordero (OWNER/PRESIDENT) |
| Authorized Official Contact | 7183294111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Dental Office, P.c. 2925 Grand Concourse Suite 1a Bronx NY 10468-1707 Ph: (718) 329-4111 | Dc Dental Office, P.c. 2925 Grand Concourse Suite 1a Bronx NY 10468-1707 Ph: (718) 329-4111 |
| NPI Number | 1003088659 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003088659 | NPI | - | NPPES |
| 0016322 | Other | NY | DORAL |
| 01544421 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045810-1 (New York) | Primary |
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