Individual
DR. BIANCA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3317 BAINBRIDGE AVE, BRONX, NY 10467-2801
(718) 547-2833
Mailing address
692 9TH AVE, APT. 5B, NEW YORK, NY 10036-3667
(347) 317-1814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055495
NY
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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