| Citibrites Dental Baychester Llc | |
|
4000 Baychester Ave Bronx NY 10466-2314 | |
| (646) 828-2566 | |
| Not Available |
| Full Name | Citibrites Dental Baychester Llc |
|---|---|
| Speciality | Dentist |
| Location | 4000 Baychester Ave, Bronx, New York |
| Authorized Official Name and Position | Terrance Stradford (OWNER) |
| Authorized Official Contact | 7328503543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citibrites Dental Baychester Llc 4000 Baychester Ave Bronx NY 10466-2314 Ph: (646) 828-2566 | Citibrites Dental Baychester Llc 4000 Baychester Ave Bronx NY 10466-2314 Ph: (646) 828-2566 |
| NPI Number | 1740804541 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740804541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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