| Primary Care Dental Pc | |
|
99 Fieldstone Dr Hartsdale NY 10530-1564 | |
| (914) 997-8820 | |
| Not Available |
| Full Name | Primary Care Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 99 Fieldstone Dr, Hartsdale, New York |
| Authorized Official Name and Position | Jeffrey J. Kim (OWNER) |
| Authorized Official Contact | 9149469098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Dental Pc 99 Fieldstone Dr Hartsdale NY 10530-1564 Ph: () - | Primary Care Dental Pc 99 Fieldstone Dr Hartsdale NY 10530-1564 Ph: (914) 997-8820 |
| NPI Number | 1669764015 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669764015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044694-1 (New York) | Primary |
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