Burnside Dental and Orthodontics

NPI #1598919664 in Bronx, New York

Provider Information

NPI Number: 1598919664
Entity Type: Organization
Organization Name: Burnside Dental and Orthodontics
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 15, 2008
Last Updated: Nov 15, 2008

Practice Location

Address: 1942 HARRISON AVE
City: Bronx
State: New York
ZIP Code: 10453-4502
Phone: (718) 299-2972

Authorized Official

Name: MR. JUAN JIMENEZ
Title: BUSINESS OWNER
Phone: (718) 299-2972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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