Fifth Avenue Dental Pc

NPI 1710999438 - Dentist - 122300000X

NPI Details
NPI 1710999438
Enumeration Date 08/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VIRENDRA VIRENDRA
Position DENTIST
Phone (718) 854-3191
Fax (718) 272-4688
Practice Location
4607 5TH AVE # 1
BROOKLYN NY, 11220-1207, US
Phone (718) 854-3191
Fax (718) 272-4688
Business Location
4607 5TH AVE # 1
BROOKLYN NY, 11220-1207, US
Phone (718) 854-3191
Fax (718) 272-4688
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 033327
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According to our database, Fifth Avenue Dental Pc NPI is 1710999438, taxonomy code is 122300000X and license number is 033327, license state is located at New York. Fifth Avenue Dental Pc physically located at 4607 5th Ave # 1, Brooklyn NY, 11220-1207. NPI Number 1033115704 has the healthcare provider type.

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1710999438 NPI number is provided on an as is basis without warranty of any kind. 1710999438 is maintained by the National Plan & Provider Enumeration System. The contents of Fifth Avenue Dental Pc are for informational purposes only.