Organization
CARIBBEAN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN DARIO MORONTA DDS (PRESIDENT)
(718) 292-8966
Entity
Organization
Contact information
Practice address
509 WILLIS AVE, BRONX, NY 10455-4001
(718) 292-8966
Mailing address
509 WILLIS AVE, BRONX, NY 10455-4001
(718) 292-8966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048538
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02154974
—
NY
Enumeration date
09/05/2007
Last updated
09/05/2007
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