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Montefiore Dental Department

Dentist in Bronx, NY. Organization (NPI-2).

NPI number1023213337
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1023213337
Entity type
Organization (NPI-2)
Legal business name
Montefiore Dental Department
Organization subpart
No
Enumeration date
Jun 18, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Other names

  • Jarrett Dental Pediatrics (Other Name)

Practice location

1516 Jarret Pl
Bronx, NY 10461-2607

Phone 888-700-6623 · Fax 718-515-5419

Mailing address

Po Box 4156
New York, NY 10261-4156

Phone 718-920-4168 · Fax 718-515-5419

Authorized official

Charles Brockett
Administrator
7189204167

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