| New Image Dental,pc | |
|
341 Saint Nicholas Ave #3 Ridgewood NY 11385-2759 | |
| (347) 844-9797 | |
| (347) 844-9798 |
| Full Name | New Image Dental,pc |
|---|---|
| Speciality | Dentist |
| Location | 341 Saint Nicholas Ave, Ridgewood, New York |
| Authorized Official Name and Position | Fernando Cordero (PRESIDENT) |
| Authorized Official Contact | 3478449797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dental,pc 341 Saint Nicholas Ave #3 Ridgewood NY 11385-2759 Ph: (347) 844-9797 | New Image Dental,pc 341 Saint Nicholas Ave #3 Ridgewood NY 11385-2759 Ph: (347) 844-9797 |
| NPI Number | 1508139973 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508139973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050874 (New York) | Primary |
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