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Organization
WEBSTER DENTAL PLAZA, P.C.
Active
Organization
WEBSTER DENTAL PLAZA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMADREZA ZARRINNEGAR D.D.S. (PRESIDENT)
(646) 262-0113
Entity
Organization
Contact information
Practice address
1231 WEBSTER AVE, BRONX, NY 10456-3373
(646) 402-8989
(646) 402-8988
Mailing address
1231 WEBSTER AVE, BRONX, NY 10456-3373
(646) 402-8989
(646) 402-8988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60836
NY
1223G0001X
General Practice Dentistry
60836
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
60836
NY
1223P0221X
Pediatric Dentistry
60836
NY
Other
Enumeration date
11/02/2006
Last updated
10/17/2008
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