Coop Citydental Associates Pllc

NPI #1003400805 in Bronx, New York

Provider Information

NPI Number: 1003400805
Entity Type: Organization
Organization Name: Coop Citydental Associates Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 23, 2021
Last Updated: Feb 23, 2021

Practice Location

Address: 2063B BARTOW AVE
City: Bronx
State: New York
ZIP Code: 10475-4613
Phone: (718) 379-4734

Authorized Official

Name: DR. FARZIN FAROKHZADEH, DDS
Title: DENTIST/OWNER
Phone: (646) 232-7067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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