| Greenburgh Kids Dental, Pc | |
|
99 Fieldstone Dr Hartsdale NY 10530-1564 | |
| (914) 997-8820 | |
| (914) 997-9627 |
| Full Name | Greenburgh Kids Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 99 Fieldstone Dr, Hartsdale, New York |
| Authorized Official Name and Position | Jennifer Kim (OWNER) |
| Authorized Official Contact | 5624052001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenburgh Kids Dental, Pc 99 Fieldstone Dr Hartsdale NY 10530-1564 Ph: (914) 997-8820 | Greenburgh Kids Dental, Pc 99 Fieldstone Dr Hartsdale NY 10530-1564 Ph: (914) 997-8820 |
| NPI Number | 1851946271 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 08/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851946271 | NPI | - | NPPES |
| 03260895 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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