Organization · NPI-2

505 Dental Associates PLLC

Dentist · Bronx, NY

NPI number1932579596
StatusActive
Last updated in NPPESSep 25, 2015

Details

NPI
1932579596
Entity type
Organization (NPI-2)
Legal business name
505 Dental Associates PLLC
Organization subpart
No
Enumeration date
Sep 25, 2015
Last updated
Sep 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist051-666NYYes

Practice location

505 Claremont Pkwy
Bronx, NY 10457-8304

Phone 914-830-4804

Mailing address

505 Claremont Pkwy
Bronx, NY 10457-8304

Phone 914-830-4804

Authorized official

John G Habib
Member
9148304804

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