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Organization
MIRIAM DENTAL CENTER
Active
Organization
MIRIAM DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARDO R GIL DDS (GENERAL DENTIST)
17183676898
Entity
Organization
Contact information
Practice address
220 MIRIAM ST, 1A, BRONX, NY 10458-3206
(718) 367-6898
(718) 450-8630
Mailing address
PO BOX 758, BRONX, NY 10458-0707
(718) 367-6898
(718) 450-8630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045134
NY
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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