Organization
GENTLEDENTAL GENERAL DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA ATANACIO MANALAD DDS (DENTIST)
(646) 220-0083
Entity
Organization
Contact information
Practice address
586 MORRIS AVE, BRONX, NY 10451-4744
(646) 220-0083
Mailing address
586 MORRIS AVE, BRONX, NY 10451-4744
(646) 220-0083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587777
—
NY
Enumeration date
07/14/2008
Last updated
07/14/2008
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