Overview
Name: 43 CHURCH STREET DENTAL PC
Specialty: Dental Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Dental.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: 43 CHURCH STREET DENTAL PC,1776 BOSTON RD STE 1A,BRONX,NY,104604907,US
Mailing Address: 43 CHURCH STREET DENTAL PC,1776 BOSTON RD STE 1A,BRONX,NY,104604907,US
Contact #
Practice location phone #: 3472714840
Practice location fax #: 3472714842
Mailing address Phone #: 3472714840
Mailing Address fax #:
Authorized official Name/Telephone #:SURMILENA, POLANCO, DDS, OWNER 3472714840
Misc
Date NPI was obtained: 02/23/2022
Last data data was updated: 02/23/2022
Insurances: