NPI 1336487131

Bronx River Dental P.C.

Organisation Dental Therapist Bronx, NY

Practice location

Address: 3000 Bronx Park E, Bronx, NY 10467-6711
Phone: (718) 655-0075
Fax: (718) 708-6966

Authorised official

Name: Ezro Fattakhov
Title: Doctor/Owner
Phone: (718) 456-2626

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 046846 (NY)

Other Dental Therapist providers in New York →

Registry record

NPI: 1336487131
Entity type: Organization
NPI issued: 29 Jan 2013
Record last updated: 14 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.