Organization
ELGAR FAMILY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRIAR MOINAMINI DDS (OWNER DENTIST)
(718) 708-7171
Entity
Organization
Contact information
Practice address
120 ELGAR PL UNIT B, BRONX, NY 10475-5103
(718) 708-7171
Mailing address
120 ELGAR PL UNIT B, BRONX, NY 10475-5103
(718) 708-7171
(718) 708-7172
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
052054
NY
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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