Michael Smalline, DDS
Dentist, General Practice in Bronx, NY. Individual provider (NPI-1).
NPI number1396891925
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396891925
- Entity type
- Individual (NPI-1)
- Name
- Michael Smalline
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0312331 | NY | Yes |
Practice location
910 Grand ConcourseBronx, NY 10451-2719
Phone 718-538-2410 · Fax 718-293-2928
Mailing address
910 Grand ConcourseBronx, NY 10451-2719
Phone 718-538-2410 · Fax 718-293-2928
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