| Park South Dental P.l.l.c. | |
|
1530 Unionport Rd Bronx NY 10462-7801 | |
| (718) 892-2200 | |
| (718) 892-5630 |
| Full Name | Park South Dental P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1530 Unionport Rd, Bronx, New York |
| Authorized Official Name and Position | Jasmin Sterling (DENTIST) |
| Authorized Official Contact | 7188922200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park South Dental P.l.l.c. 1530 Unionport Rd Bronx NY 10462-7801 Ph: (718) 892-2200 | Park South Dental P.l.l.c. 1530 Unionport Rd Bronx NY 10462-7801 Ph: (718) 892-2200 |
| NPI Number | 1689853459 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689853459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 038052 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | 049359 (New York) | Secondary |
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