| Gentledental General Dentistry P.c. | |
|
586 Morris Ave Bronx NY 10451-4744 | |
| (646) 220-0083 | |
| Not Available |
| Full Name | Gentledental General Dentistry P.c. |
|---|---|
| Speciality | Dentist |
| Location | 586 Morris Ave, Bronx, New York |
| Authorized Official Name and Position | Teresa Atanacio Manalad (DENTIST) |
| Authorized Official Contact | 6462200083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentledental General Dentistry P.c. 586 Morris Ave Bronx NY 10451-4744 Ph: (646) 220-0083 | Gentledental General Dentistry P.c. 586 Morris Ave Bronx NY 10451-4744 Ph: (646) 220-0083 |
| NPI Number | 1790949329 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790949329 | NPI | - | NPPES |
| 02587777 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051481 (New York) | Primary |
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