NPI Provider: 1932453172
Contact Name: DIAZ VERONICA
Position: DENTIST/OWNER
Phone: (212) 426-8202
P&r Executive Dental Management Inc Information:
P&r Executive Dental Management Inc organization have npi 1932453172, taxonomy code is 122300000X with license number is 550851 in . This Business address located in 2127 1ST AVE, NEW YORK, NY 10029 New York.
Practice Location
Address: 2127 1ST AVE, NEW YORK, NY 10029
Phone: (212) 426-8202
Business Location
Address: 2127 1ST AVE, NEW YORK, NY 10029
Phone: (212) 426-8202
Fax: (212) 426-6802
Taxonomy
Taxonomy Code: 122300000X
License Number: 550851
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 11/08/2012
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