US Dental Choice P.l.l.c

NPI #1639311319 in Bronx, New York

Provider Information

NPI Number: 1639311319
Entity Type: Organization
Organization Name: US Dental Choice P.l.l.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 27, 2009
Last Updated: Mar 27, 2009

Practice Location

Address: 1963 GRAND CONCOURSE
Address 2: LOWER LEVEL
City: Bronx
State: New York
ZIP Code: 10453-4994
Phone: (718) 294-8800

Authorized Official

Name: ALEKSANDR IZRAILOV
Title: DENTIST/OWNER
Phone: (718) 294-8800

Specialties & Taxonomy Codes

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

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