Bay Plaza Mall Dental Pllc

NPI #1033633466 in Bronx, New York

Provider Information

NPI Number: 1033633466
Entity Type: Organization
Organization Name: Bay Plaza Mall Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 27, 2017
Last Updated: Jul 27, 2017

Practice Location

Address: 200 BAYCHESTER AVE STE 311C
City: Bronx
State: New York
ZIP Code: 10475-4585
Phone: (347) 625-6438

Authorized Official

Name: DZIDRA ZUJEVA
Title: MANAGER
Phone: (347) 625-6438

Specialties & Taxonomy Codes

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

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