Citywide Dental Family Practice, Pllc | |
384 E 149th St Suite 216 Bronx NY 10455-3908 | |
(718) 993-7788 | |
Not Available |
Full Name | Citywide Dental Family Practice, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 384 E 149th St, Bronx, New York |
Authorized Official Name and Position | Janice L Perez (CEO) |
Authorized Official Contact | 7189937788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Citywide Dental Family Practice, Pllc 384 E 149th St Suite 216 Bronx NY 10455-3908 Ph: (718) 993-7788 | Citywide Dental Family Practice, Pllc 384 E 149th St Suite 216 Bronx NY 10455-3908 Ph: (718) 993-7788 |
NPI Number | 1093985624 |
---|---|
Provider Enumeration Date | 03/11/2008 |
Last Update Date | 03/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093985624 | NPI | - | NPPES |
02363519 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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