174 STREET DENTAL LLC NPI 1134358427

NPI Information

174 STREET DENTAL LLC is a general practice dentist in Bronx, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. 174 STREET DENTAL LLC NPI is 1134358427. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

146 E 174TH ST
BRONX, NY
ZIP 10457-904
Phone: (213) 709-7154

The provider's authorized official is Justin Sycamore .
The authorized official title is Dentist and has the following contact phone number (213) 709-7154.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 7/8/2009.

Taxonomy Codes

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