Organization
SIRECI FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M SIRECI DDS (PRESIDENT)
(718) 829-0455
Entity
Organization
Contact information
Practice address
2861 BRUCKNER BLVD, BRONX, NY 10465-1965
(718) 829-0455
(718) 829-0825
Mailing address
2861 BRUCKNER BLVD, BRONX, NY 10465-1965
(718) 829-0455
(718) 829-0825
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
036511
NY
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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