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Organization
PARKCHESTER CHILDRENS DENTAL GROUP
Active
Organization
PARKCHESTER CHILDRENS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLENE M MARTIN DDS (DENTIST OWNER)
(718) 824-9612
Entity
Organization
Contact information
Practice address
1488 METROPOLITAN AVENUE, STE 7, BRONX, NY 10462
(718) 824-9612
(718) 824-9614
Mailing address
1488 METROPOLITAN AVENUE, STE 7, BRONX, NY 10462
(718) 824-9612
(718) 824-9614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0471691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01788352
—
NY
Enumeration date
05/04/2007
Last updated
08/22/2020
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