Organization
BRUCKNER PLAZA DENTAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT BEATUS D.D.S. (PRESIDENT)
(718) 823-3393
Entity
Organization
Contact information
Practice address
1967 TURNBULL AVE STE 21A, BRONX, NY 10473-2519
(718) 823-3393
(718) 823-3449
Mailing address
1967 TURNBULL AVE STE 21A, BRONX, NY 10473-2519
(718) 823-3393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039769
NY
Other
Enumeration date
03/28/2008
Last updated
01/21/2012
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