# SUPERIOR DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275771248
- **Authorized official:** DR. SVETLANA PONOMAREVA DDS (OWNER)
- **Authorized official phone:** (718) 329-2929

## Contact information

- **Practice address:** 2475 GRAND CONCOURSE, BRONX, NY 10468-5443
- **Practice address phone:** (718) 329-2929
- **Practice address fax:** (718) 329-2930
- **Mailing address:** 2475 GRAND CONCOURSE, BRONX, NY 10468-5443
- **Mailing address phone:** (718) 329-2929
- **Mailing address fax:** (718) 329-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 049663 | NY | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 01/29/2009