| Brace Dental Services, Pc | |
|
874 Prospect Ave 2nd Fl Bronx NY 10459-3926 | |
| (718) 328-8511 | |
| (718) 328-0327 |
| Full Name | Brace Dental Services, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 874 Prospect Ave, Bronx, New York |
| Authorized Official Name and Position | Maria Olmo (MANAGER) |
| Authorized Official Contact | 7183288511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brace Dental Services, Pc 874 Prospect Ave 2nd Fl Bronx NY 10459-3926 Ph: (718) 328-8511 | Brace Dental Services, Pc 874 Prospect Ave 2nd Fl Bronx NY 10459-3926 Ph: (718) 328-8511 |
| NPI Number | 1205002755 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205002755 | NPI | - | NPPES |
| 02717444 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0521041 (New York) | Primary |
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