Organization
BRONX COMMUNITY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG NEKTALOV D.D.S. (PRESIDENT)
(718) 618-7612
Entity
Organization
Contact information
Practice address
471 E TREMONT AVE, BRONX, NY 10457-4401
(718) 618-7612
Mailing address
471 E TREMONT AVE, BRONX, NY 10457-4401
(718) 618-7612
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054471
NY
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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