Organization · NPI-2

Abc Dental PC

Dentist · Bronx, NY

NPI number1295161081
StatusActive
Last updated in NPPESSep 24, 2013

Details

NPI
1295161081
Entity type
Organization (NPI-2)
Legal business name
Abc Dental PC
Organization subpart
No
Enumeration date
Sep 24, 2013
Last updated
Sep 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist039726NYYes

Practice location

1268 White Plains Rd
Bronx, NY 10472-4904

Phone 718-792-6991 · Fax 718-792-0650

Mailing address

1268 White Plains Rd
Bronx, NY 10472-4904

Phone 718-792-6991 · Fax 718-792-0650

Authorized official

Alexander Chu
Dentist
7187926991

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