Fordham Road Dental PC

NPI #1306050869 in Bronx, New York

Provider Information

NPI Number: 1306050869
Entity Type: Organization
Organization Name: Fordham Road Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 10, 2007
Last Updated: May 26, 2016

Practice Location

Address: 327 E FORDHAM RD
Address 2: 2ND FLOOR
City: Bronx
State: New York
ZIP Code: 10458-5002
Phone: (718) 933-8400

Authorized Official

Name: DIANE BERTUZZI
Title: PRACTICE MANAGER
Phone: (845) 304-6110

Specialties & Taxonomy Codes

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

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