| 810 Dental Association | |
|
810 Pelham Pkwy S Ste. A Bronx NY 10462-1143 | |
| (718) 824-4383 | |
| Not Available |
| Full Name | 810 Dental Association |
|---|---|
| Speciality | Dentist |
| Location | 810 Pelham Pkwy S, Bronx, New York |
| Authorized Official Name and Position | Reuven D Mohl (PRESIDENT) |
| Authorized Official Contact | 7188244383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 810 Dental Association 810 Pelham Pkwy S Ste. A Bronx NY 10462-1143 Ph: () - | 810 Dental Association 810 Pelham Pkwy S Ste. A Bronx NY 10462-1143 Ph: (718) 824-4383 |
| NPI Number | 1669660031 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 08/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669660031 | NPI | - | NPPES |
| 049298 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 049286 (New York) | Primary |
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