Gentledental General Dentistry P.c. | |
586 Morris Ave Bronx NY 10451-4744 | |
(646) 220-0083 | |
Not Available |
Full Name | Gentledental General Dentistry P.c. |
---|---|
Speciality | Dentist |
Location | 586 Morris Ave, Bronx, New York |
Authorized Official Name and Position | Teresa Atanacio Manalad (DENTIST) |
Authorized Official Contact | 6462200083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gentledental General Dentistry P.c. 586 Morris Ave Bronx NY 10451-4744 Ph: (646) 220-0083 | Gentledental General Dentistry P.c. 586 Morris Ave Bronx NY 10451-4744 Ph: (646) 220-0083 |
NPI Number | 1790949329 |
---|---|
Provider Enumeration Date | 07/14/2008 |
Last Update Date | 07/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790949329 | NPI | - | NPPES |
02587777 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 051481 (New York) | Primary |
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