| Marble Hill Dental Office, Pc | |
|
112 W 228th St Bronx NY 10463-6625 | |
| (718) 584-9890 | |
| Not Available |
| Full Name | Marble Hill Dental Office, Pc |
|---|---|
| Speciality | Dentist |
| Location | 112 W 228th St, Bronx, New York |
| Authorized Official Name and Position | Ana Silvia Rojas (PRESIDENT) |
| Authorized Official Contact | 7185849890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marble Hill Dental Office, Pc 112 W 228th St Bronx NY 10463-6625 Ph: (718) 584-9890 | Marble Hill Dental Office, Pc 112 W 228th St Bronx NY 10463-6625 Ph: (718) 584-9890 |
| NPI Number | 1033453873 |
|---|---|
| Provider Enumeration Date | 11/17/2012 |
| Last Update Date | 11/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033453873 | NPI | - | NPPES |
| 01635116 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045605 (New York) | Primary |
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