Willis Dental Care, P.l.l.c.

NPI #1184896607 in Bronx, New York

Provider Information

NPI Number: 1184896607
Entity Type: Organization
Organization Name: Willis Dental Care, P.l.l.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 237 WILLIS AVE
City: Bronx
State: New York
ZIP Code: 10454-2678
Phone: (718) 292-6311

Authorized Official

Name: DR. ALEXANDER MUSHEYEV, D.D.S
Title: DENTIST
Phone: (718) 292-6311

Specialties & Taxonomy Codes

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

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