Organization
BRONX DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN MIREYA RIJOS D.D.S (PRESIDENT)
(718) 563-0303
Entity
Organization
Contact information
Practice address
2420 DAVIDSON AVE, 1 FL, BRONX, NY 10468-6318
(718) 563-0303
(718) 367-7117
Mailing address
2420 DAVIDSON AVE, 1 FL, BRONX, NY 10468-6318
(718) 563-0303
(718) 367-7117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526392
—
NY
Enumeration date
03/31/2008
Last updated
03/31/2008
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