Organization
PREMIER FAMILY DENTISTRY PLLC
Active
Other names
PREMIER FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL ADEYEMI ISIOYE DDS (OWNER)
(718) 543-4747
Entity
Organization
Contact information
Practice address
3024 KINGSBRIDGE AVE, BRONX, NY 10463-5121
(718) 543-4747
(718) 884-6137
Mailing address
3024 KINGSBRIDGE AVE, BRONX, NY 10463-5121
(718) 543-4747
(718) 884-6137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
050241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02419776
—
NY
Enumeration date
02/16/2016
Last updated
02/16/2016
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