# 43 CHRUCH STREET DENTAL PC

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

## Provider details

- **NPI number:** 1356097869
- **Authorized official:** ALEJANDRO LEONEL WILLIAMS DDS (OWNER)
- **Authorized official phone:** (718) 294-3725

## Contact information

- **Practice address:** 1776 BOSTON RD STE 1A, BRONX, NY 10460-4907
- **Practice address phone:** (347) 271-4840
- **Practice address fax:** (347) 271-4842
- **Mailing address:** 1776 BOSTON RD STE 1A, BRONX, NY 10460-4907
- **Mailing address phone:** (347) 271-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 08/28/2024