| Us Dental Choice P.l.l.c | |
|
1963 Grand Concourse Lower Level Bronx NY 10453-4994 | |
| (718) 294-8800 | |
| (718) 731-5100 |
| Full Name | Us Dental Choice P.l.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1963 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Aleksandr Izrailov (DENTIST/OWNER) |
| Authorized Official Contact | 7182948800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Us Dental Choice P.l.l.c 1963 Grand Concourse Lower Level Bronx NY 10453-4994 Ph: (718) 294-8800 | Us Dental Choice P.l.l.c 1963 Grand Concourse Lower Level Bronx NY 10453-4994 Ph: (718) 294-8800 |
| NPI Number | 1639311319 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639311319 | NPI | - | NPPES |
| 050642 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050642 (New York) | Primary |
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