YOUR BRONX DENTIST NPI 1184107344

NPI Information

YOUR BRONX DENTIST 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. YOUR BRONX DENTIST NPI is 1184107344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3310 BAINBRIDGE AVE
BRONX, NY
ZIP 10467-856
Phone: (718) 654-3456

The provider's authorized official is Ebbie Boutehsaz .
The authorized official title is President and has the following contact phone number (516) 455-6802.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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