Organization
OPTIMUM DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA MIDDLETON (BILLER)
(718) 671-2826
Entity
Organization
Contact information
Practice address
3370 BAYCHESTER AVE, BRONX, NY 10475-1565
(718) 671-2826
(718) 671-2824
Mailing address
3370 BAYCHESTER AVE, BRONX, NY 10475-1565
(718) 671-2826
(718) 671-2824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
052905
NY
261QD0000X
Dental Clinic/Center
Primary
055124
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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