Organization
BAY PLAZA MALL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DZIDRA ZUJEVA (MANAGER)
(347) 625-6438
Entity
Organization
Contact information
Practice address
200 BAYCHESTER AVE STE 311C, BRONX, NY 10475-4585
(347) 625-6438
Mailing address
100 MAIN ST, WHITE PLAINS, NY 10601-2601
(914) 997-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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