| Monte Park Orthodontics | |
|
1625 Poplar St Bronx NY 10461-2653 | |
| (888) 700-6623 | |
| (718) 515-5419 |
| Full Name | Monte Park Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 1625 Poplar St, Bronx, New York |
| Authorized Official Name and Position | Charles Brockett (ADMINISTRATOR) |
| Authorized Official Contact | 7189204167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Park Orthodontics Po Box 4156 New York NY 10261-4156 Ph: (718) 920-4168 | Monte Park Orthodontics 1625 Poplar St Bronx NY 10461-2653 Ph: (888) 700-6623 |
| NPI Number | 1801092341 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801092341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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