4TH AVENUE DENTAL PC

MOUNT VERNON, NY
NPI1356580914
Entity TypeOrganization
Authorized ContactHARESH I SHAH
President
914-664-5342
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  036630)
Enumeration Date2009-02-05
Last Update Date2009-02-05
Business Address
4TH AVENUE DENTAL PC
157 S 4TH AVE
MOUNT VERNON, NY 10550-3106
Phone number: 914-664-5342
Mailing Address
4TH AVENUE DENTAL PC
11033 64TH AVE
FOREST HILLS, NY 11375-1428
Phone number: 917-886-4568