| Genesis Dentistry Pc | |
|
375 E Fordham Rd 2 Floor Bronx NY 10458-5033 | |
| (718) 584-3826 | |
| (718) 584-7309 |
| Full Name | Genesis Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 375 E Fordham Rd, Bronx, New York |
| Authorized Official Name and Position | Andres Miranda (PRESIDENT) |
| Authorized Official Contact | 7185843826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dentistry Pc 375 E Fordham Rd 2 Floor Bronx NY 10458-5033 Ph: (718) 584-3826 | Genesis Dentistry Pc 375 E Fordham Rd 2 Floor Bronx NY 10458-5033 Ph: (718) 584-3826 |
| NPI Number | 1548494826 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 05/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548494826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045711-1 (New York) | Primary |
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