Organization
CITYWIDE DENTAL FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE L PEREZ D.D.S. (CEO)
(718) 993-7788
Entity
Organization
Contact information
Practice address
384 E 149TH ST, SUITE 216, BRONX, NY 10455-3908
(718) 993-7788
Mailing address
384 E 149TH ST, SUITE 216, BRONX, NY 10455-3908
(718) 993-7788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02363519
—
NY
Enumeration date
03/11/2008
Last updated
03/17/2008
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