Professional Dental Office Pc.

NPI 1073659074 - Dentist - 122300000X

NPI Details
NPI 1073659074
Enumeration Date 01/29/2007
Last Updated 09/05/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROSA IDALIA ROSA
Position PRESIDENT
Phone (212) 673-9367
Fax (212) 673-9367
Practice Location
167 RIVINGTON ST
1ST FLOOR
NEW YORK NY, 10002-2555, US
Phone (212) 673-9367
Fax (212) 673-9367
Business Location
167 RIVINGTON ST
1ST FLOOR
NEW YORK NY, 10002-2555, US
Phone (212) 673-9367
Fax (212) 673-9367
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 048431-1
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According to our database, Professional Dental Office Pc. NPI is 1073659074, taxonomy code is 122300000X and license number is 048431-1, license state is located at New York. Professional Dental Office Pc. physically located at 167 Rivington St, New York NY, 10002-2555. NPI Number 1033115704 has the healthcare provider type.

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1073659074 NPI number is provided on an as is basis without warranty of any kind. 1073659074 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Dental Office Pc. are for informational purposes only.