| Srp Dental Care, P.c. | |
|
48 E Kingsbridge Rd Bronx NY 10468-7514 | |
| (718) 933-9603 | |
| (718) 866-0337 |
| Full Name | Srp Dental Care, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 48 E Kingsbridge Rd, Bronx, New York |
| Authorized Official Name and Position | Surendra R Patel (OWNER/PRESIDENT) |
| Authorized Official Contact | 7189339603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srp Dental Care, P.c. 250 W Clarkstown Rd New City NY 10956-7221 Ph: (718) 933-9603 | Srp Dental Care, P.c. 48 E Kingsbridge Rd Bronx NY 10468-7514 Ph: (718) 933-9603 |
| NPI Number | 1457525271 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457525271 | NPI | - | NPPES |
| DN0013148 | Other | FL | FLORIDA LIC. |
| 033320 | Other | NY | NEW YORK LIC. # |
| 52177 | Other | CA | CALIFORNIA LIC. |
| 00291350 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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