| Bay Plaza Mall Dental Pllc | |
|
200 Baychester Ave Ste 311c Bronx NY 10475-4585 | |
| (347) 625-6438 | |
| Not Available |
| Full Name | Bay Plaza Mall Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Baychester Ave Ste 311c, Bronx, New York |
| Authorized Official Name and Position | Dzidra Zujeva (MANAGER) |
| Authorized Official Contact | 3476256438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Plaza Mall Dental Pllc 100 Main St White Plains NY 10601-2601 Ph: (914) 997-9000 | Bay Plaza Mall Dental Pllc 200 Baychester Ave Ste 311c Bronx NY 10475-4585 Ph: (347) 625-6438 |
| NPI Number | 1033633466 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033633466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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