Organization
K&D DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA RIVERA (OFFICE MANAGER)
(718) 562-1074
Entity
Organization
Contact information
Practice address
5500 BROADWAY, BRONX, NY 10463-5203
(718) 562-1074
(718) 562-2035
Mailing address
5500 BROADWAY, BRONX, NY 10463-5203
(718) 562-1074
(718) 562-2035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00641103
—
NY
05
—
00980534
—
NY
Enumeration date
10/20/2005
Last updated
08/22/2020
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