| Riverdale Urgent Care Dental, Llc | |
|
3509 Johnson Ave Bronx NY 10463-1602 | |
| (914) 769-0799 | |
| (914) 769-5011 |
| Full Name | Riverdale Urgent Care Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3509 Johnson Ave, Bronx, New York |
| Authorized Official Name and Position | Scott F Loeser (SOLE MBR) |
| Authorized Official Contact | 9147690799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale Urgent Care Dental, Llc 3509 Johnson Ave Bronx NY 10463-1602 Ph: (914) 769-0799 | Riverdale Urgent Care Dental, Llc 3509 Johnson Ave Bronx NY 10463-1602 Ph: (914) 769-0799 |
| NPI Number | 1598134801 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598134801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0491001 (New York) | Primary |
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