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1104189430
BLOOMING DENTAL PLLC
NEW YORK, NY
NPI
1104189430
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Entity Type
Organization
Authorized Contact
MARIA MARCIAL
Dentist
646-861-2404
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 047318)
Enumeration Date
2012-06-21
Last Update Date
2012-06-21
Business Address
BLOOMING DENTAL PLLC
150 E 58TH ST 8TH FLOOR ANNEX
NEW YORK, NY 10155-0002
Phone number: 646-861-2404
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Mailing Address
BLOOMING DENTAL PLLC
16411 CROCHERON AVE
FLUSHING, NY 11358-2015
Phone number: 646-861-2404
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