| Gorgeos Smile Dental | |
|
871 E Tremont Ave Bronx NY 10460-4207 | |
| (718) 299-5900 | |
| Not Available |
| Full Name | Gorgeos Smile Dental |
|---|---|
| Speciality | Dentist |
| Location | 871 E Tremont Ave, Bronx, New York |
| Authorized Official Name and Position | Kristina Gabrilyants (DENTIST) |
| Authorized Official Contact | 7182995900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorgeos Smile Dental 871 E Tremont Ave Bronx NY 10460-4207 Ph: (718) 299-5900 | Gorgeos Smile Dental 871 E Tremont Ave Bronx NY 10460-4207 Ph: (718) 299-5900 |
| NPI Number | 1548430788 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548430788 | NPI | - | NPPES |
| 02832882 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053195 (New York) | Primary |
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