Organization
BRONX QUEENS DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MM ABDUR ROB DDS (OWNER DENTIST)
(718) 731-6176
Entity
Organization
Contact information
Practice address
780 E TREMONT AVE, BRONX, NY 10460
(718) 731-6176
(718) 583-3506
Mailing address
780 E TREMONT AVE, BRONX, NY 10460
(718) 731-6176
(718) 583-3506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01590330
—
NY
Enumeration date
11/17/2006
Last updated
06/25/2014
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