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Organization
NEW IMAGE DENTAL,PC
Active
Organization
NEW IMAGE DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO CORDERO (PRESIDENT)
(347) 844-9797
Entity
Organization
Contact information
Practice address
341 SAINT NICHOLAS AVE, #3, RIDGEWOOD, NY 11385-2759
(347) 844-9797
(347) 844-9798
Mailing address
341 SAINT NICHOLAS AVE, #3, RIDGEWOOD, NY 11385-2759
(347) 844-9797
(347) 844-9798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050874
NY
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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