| Illustradent Westchester Dental Services, Pllc | |
|
1730 Central Park Ave Suite 2r Yonkers NY 10710-4905 | |
| (914) 779-4858 | |
| (914) 395-0101 |
| Full Name | Illustradent Westchester Dental Services, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1730 Central Park Ave, Yonkers, New York |
| Authorized Official Name and Position | Mara Rosenberg (MEMBER) |
| Authorized Official Contact | 9147794858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illustradent Westchester Dental Services, Pllc 1730 Central Park Ave Suite 2r Yonkers NY 10710-4905 Ph: (914) 779-4858 | Illustradent Westchester Dental Services, Pllc 1730 Central Park Ave Suite 2r Yonkers NY 10710-4905 Ph: (914) 779-4858 |
| NPI Number | 1063779478 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063779478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052858 (New York) | Primary |
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