Montefiore Dental Department

NPI #1023213337 in Bronx, New York

Provider Information

NPI Number: 1023213337
Entity Type: Organization
Organization Name: Montefiore Dental Department
Primary Specialty: Dentist
Enumeration Date: Jun 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1516 JARRET PL
City: Bronx
State: New York
ZIP Code: 10461-2607
Phone: (888) 700-6623

Authorized Official

Name: CHARLES BROCKETT
Title: ADMINISTRATOR
Phone: (718) 920-4167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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