R G Dental Office P.c. | |
330 E 204th St Bronx NY 10467-4706 | |
(718) 652-0290 | |
Not Available |
Full Name | R G Dental Office P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 330 E 204th St, Bronx, New York |
Authorized Official Name and Position | Shahnaaz Gill (OWNER) |
Authorized Official Contact | 7186520290 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
R G Dental Office P.c. 330 E 204th St Bronx NY 10467-4706 Ph: () - | R G Dental Office P.c. 330 E 204th St Bronx NY 10467-4706 Ph: (718) 652-0290 |
NPI Number | 1699946467 |
---|---|
Provider Enumeration Date | 03/19/2008 |
Last Update Date | 03/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699946467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049469-1 (New York) | Primary |
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