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1184107344
YOUR BRONX DENTIST
BRONX, NY
NPI
1184107344
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Entity Type
Organization
Authorized Contact
EBBIE BOUTEHSAZ
President
516-455-6802
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
YOUR BRONX DENTIST
3310 BAINBRIDGE AVE
BRONX, NY 10467-2856
Phone number: 718-654-3456
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Mailing Address
YOUR BRONX DENTIST
3310 BAINBRIDGE AVE
BRONX, NY 10467-2856
Phone number:
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