Organization
BEENAKUMARI VIJU DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEENAKUMARI VIJU DDS (PRESIDENT)
(718) 933-5510
Entity
Organization
Contact information
Practice address
3201 GRAND CONCOURSE, SUITE 1K, BRONX, NY 10468
(718) 933-5510
(718) 933-7128
Mailing address
3201 GRAND CONCOURSE, SUITE 1K, BRONX, NY 10468
(718) 933-5510
(718) 933-7128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049274
NY
Other
Enumeration date
05/09/2007
Last updated
03/27/2012
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