Organization
GUN HILL DENTAL PC
Active
Other names
Dental Specialties of NY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN KATAYEV (PRESIDENT)
(718) 740-6000
Entity
Organization
Contact information
Practice address
301 E GUN HILL RD, BRONX, NY 10467-2269
(718) 740-6000
(718) 740-6004
Mailing address
301 E GUN HILL RD, BRONX, NY 10467-2269
(718) 740-6000
(718) 740-6004
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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