New Image Dental,pc

NPI #1508139973 in Ridgewood, New York

Provider Information

NPI Number: 1508139973
Entity Type: Organization
Organization Name: New Image Dental,pc
Primary Specialty: Dentist
Enumeration Date: Feb 16, 2012
Last Updated: Feb 16, 2012

Practice Location

Address: 341 SAINT NICHOLAS AVE
Address 2: #3
City: Ridgewood
State: New York
ZIP Code: 11385-2759
Phone: (347) 844-9797

Authorized Official

Name: FERNANDO CORDERO
Title: PRESIDENT
Phone: (347) 844-9797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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