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Organization
R G DENTAL OFFICE P.C.
Active
Organization
R G DENTAL OFFICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNAAZ GILL (OWNER)
(718) 652-0290
Entity
Organization
Contact information
Practice address
330 E 204TH ST, BRONX, NY 10467-4706
(718) 652-0290
Mailing address
330 E 204TH ST, BRONX, NY 10467-4706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049469-1
NY
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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