Organization
DC DENTAL OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS A CORDERO D.D.S. (OWNER/PRESIDENT)
(718) 329-4111
Entity
Organization
Contact information
Practice address
2925 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10468-1707
(718) 329-4111
(718) 329-1614
Mailing address
2925 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10468-1707
(718) 329-4111
(718) 329-1614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045810-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016322
DORAL
NY
05
—
01544421
—
NY
Enumeration date
03/24/2008
Last updated
03/24/2008
Update your record
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