Organization
586 MORRIS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA OTANO (OFFICE MANAGER)
91796299990
Entity
Organization
Contact information
Practice address
586 MORRIS AVENUE, 586 MORRIS DENTAL PC, BRONX, NY 10451
(917) 962-9990
Mailing address
586 MORRIS AVENUE, 586 MORRIS DENTAL PC, BRONX, NY 10451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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