Organization
COOP CITYDENTAL ASSOCIATES PLLC
Active
Other names
city smiles dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZIN FAROKHZADEH DDS (DENTIST/OWNER)
(646) 232-7067
Entity
Organization
Contact information
Practice address
2063B BARTOW AVE, BRONX, NY 10475-4613
(718) 379-4734
(718) 379-6487
Mailing address
2063B BARTOW AVE, BRONX, NY 10475-4613
(718) 379-4734
(718) 379-6487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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