810 Dental Association
Dentist in Bronx, NY. Organization (NPI-2).
NPI number1669660031
StatusActive
Last updated in NPPESAug 26, 2013
Details
- NPI
- 1669660031
- Entity type
- Organization (NPI-2)
- Legal business name
- 810 Dental Association
- Organization subpart
- No
- Enumeration date
- Oct 10, 2007
- Last updated
- Aug 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 049286 | NY | Yes |
Practice location
810 Pelham Pkwy SSte. A
Bronx, NY 10462-1143
Phone 718-824-4383
Mailing address
810 Pelham Pkwy SSte. A
Bronx, NY 10462-1143
Authorized official
Reuven D Mohl
President
7188244383
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