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Organization
THIRD AVENUE DENTAL P.C.
Active
Organization
THIRD AVENUE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BLANK D.D.S. (PRESIDENT)
(718) 665-1000
Entity
Organization
Contact information
Practice address
3055 THIRD AVENUE, SUITE B, BRONX, NY 10451-4857
(718) 665-1000
Mailing address
3055 THIRD AVENUE, SUITE B, BRONX, NY 10451-4857
(718) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045344
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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