Organization
DOWNTOWN BRONX DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GORDON (EXECUTIVE DIRECTOR)
(718) 579-6017
Entity
Organization
Contact information
Practice address
234 E 149TH ST, 8D-200, BRONX, NY 10451-5504
(718) 579-6200
Mailing address
234 E 149TH ST, 8D-200, BRONX, NY 10451-5504
(718) 579-6200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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