Parkchester Childrens Dental Group | |
1488 Metropolitan Avenue Ste 7 Bronx NY 10462 | |
(718) 824-9612 | |
(718) 824-9614 |
Full Name | Parkchester Childrens Dental Group |
---|---|
Speciality | Dentist |
Location | 1488 Metropolitan Avenue, Bronx, New York |
Authorized Official Name and Position | Arlene M Martin (DENTIST OWNER) |
Authorized Official Contact | 7188249612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Parkchester Childrens Dental Group 1488 Metropolitan Avenue Ste 7 Bronx NY 10462 Ph: (718) 824-9612 | Parkchester Childrens Dental Group 1488 Metropolitan Avenue Ste 7 Bronx NY 10462 Ph: (718) 824-9612 |
NPI Number | 1154533156 |
---|---|
Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154533156 | NPI | - | NPPES |
01788352 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0471691 (New York) | Primary |
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