| Mtn Tribeca Dental Care, P.c. | |
|
249 W Broadway Ste 2d New York NY 10013-2463 | |
| (212) 925-4000 | |
| (212) 925-4000 |
| Full Name | Mtn Tribeca Dental Care, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 249 W Broadway Ste 2d, New York, New York |
| Authorized Official Name and Position | Mong Trinh Thi Nguyen (PRESIDENT) |
| Authorized Official Contact | 2129254000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtn Tribeca Dental Care, P.c. 249 W Broadway Ste 2d New York NY 10013-2463 Ph: (212) 925-4000 | Mtn Tribeca Dental Care, P.c. 249 W Broadway Ste 2d New York NY 10013-2463 Ph: (212) 925-4000 |
| NPI Number | 1811034804 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811034804 | NPI | - | NPPES |
| 01282439 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 043629 (New York) | Primary |
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