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Organization
POLANCO DENTAL P.C.
Active
Organization
POLANCO DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SALCEDO (PRESIDENT)
(212) 304-4832
Entity
Organization
Contact information
Practice address
207 DYCKMAN ST, SUITE 4, NEW YORK, NY 10040-1063
(212) 304-4832
(212) 304-4880
Mailing address
207 DYCKMAN ST, SUITE 4, NEW YORK, NY 10040-1063
(212) 304-4832
(212) 304-4880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744094
—
NY
Enumeration date
03/29/2008
Last updated
03/29/2008
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