Organization
S&B DENTAL GROUP, P.C.
Active
Other names
3rd Ave Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SHALOMOV DDS (PRESIDENT)
(718) 290-7934
Entity
Organization
Contact information
Practice address
500 E 165TH ST, BRONX, NY 10456-6657
(347) 685-9525
Mailing address
500 E 165TH ST, BRONX, NY 10456-6657
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
047852
NY
261QD0000X
Dental Clinic/Center
Primary
054092
NY
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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