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Organization
NEW HORIZON DENTAL, P.C
Active
Organization
NEW HORIZON DENTAL, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MIKHAILOV (OWNER)
(718) 861-8060
Entity
Organization
Contact information
Practice address
961EAST 174 ST., SUITE B 150, BRONX, NY 10460
(718) 861-8060
Mailing address
961EAST 174 ST, SUITE B 150, BRONX, NY 10460
(718) 861-8060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100018
—
NY
Enumeration date
07/10/2007
Last updated
08/22/2020
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