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1336487131
BRONX RIVER DENTAL P.C.
BRONX, NY
NPI
1336487131
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Entity Type
Organization
Authorized Contact
EZRO FATTAKHOV
Doctor/Owner
718-456-2626
Organization Subpart ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: NY 046846)
Enumeration Date
2013-01-29
Last Update Date
2013-11-14
Business Address
BRONX RIVER DENTAL P.C.
3000 BRONX PARK E
BRONX, NY 10467-6711
Phone number: 718-655-0075
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Mailing Address
BRONX RIVER DENTAL P.C.
3000 BRONX PARK E
BRONX, NY 10467-6711
Phone number: 718-655-0075
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