# S&B DENTAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 3rd Ave Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366880841
- **Authorized official:** DR. EDWARD SHALOMOV DDS (PRESIDENT)
- **Authorized official phone:** (718) 290-7934

## Contact information

- **Practice address:** 500 E 165TH ST, BRONX, NY 10456-6657
- **Practice address phone:** (347) 685-9525
- **Mailing address:** 500 E 165TH ST, BRONX, NY 10456-6657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 047852 | NY | — |
| 261QD0000X | Dental Clinic/Center | 054092 | NY | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/06/2013