Organization
DENTSERV DENTAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC NEWMAN (CHIEF OPERATING OFFICER)
(718) 362-1411
Entity
Organization
Contact information
Practice address
15 CANAL ROAD, PELHAM MANOR, NY 10803
(718) 362-1411
(718) 414-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 414-1651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
035119-1
NY
261QD0000X
Dental Clinic/Center
Primary
035119-01
NY
Other
Enumeration date
08/14/2012
Last updated
12/12/2019
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