| Zen Dental P.c. | |
|
563 E Tremont Ave Bronx NY 10457-4655 | |
| (845) 527-7772 | |
| Not Available |
| Full Name | Zen Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 563 E Tremont Ave, Bronx, New York |
| Authorized Official Name and Position | Tristan L Lue (PRESIDENT) |
| Authorized Official Contact | 8455277772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zen Dental P.c. 563 E Tremont Ave Bronx NY 10457-4655 Ph: (845) 527-7772 | Zen Dental P.c. 563 E Tremont Ave Bronx NY 10457-4655 Ph: (845) 527-7772 |
| NPI Number | 1306112560 |
|---|---|
| Provider Enumeration Date | 03/31/2012 |
| Last Update Date | 03/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306112560 | NPI | - | NPPES |
| 02877241 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053141 (New York) | Primary |
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