Organization
BLOOMING DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA MARCIAL DDS (DENTIST)
(646) 861-2404
Entity
Organization
Contact information
Practice address
150 E 58TH ST, 8TH FLOOR ANNEX, NEW YORK, NY 10155-0002
(646) 861-2404
Mailing address
16411 CROCHERON AVE, FLUSHING, NY 11358-2015
(646) 861-2404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047318
NY
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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