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Organization
TRI-BORO DENTAL FACIAL TRAUMA CONSULTING P.C.
Active
Organization
TRI-BORO DENTAL FACIAL TRAUMA CONSULTING P.C.
Active
Other names
tri-boro dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD ROTH D.D.S. (OWNER)
(718) 327-7000
Entity
Organization
Contact information
Practice address
1847 MOTT AVE, 2ND FLOOR, FAR ROCKAWAY, NY 11691-4201
(718) 327-7000
(718) 471-2071
Mailing address
408 EDWARD AVENUE, WOODMERE, NY 11598
(718) 327-7000
(718) 471-2071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040164-1
NY
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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