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Bronx River Dental P.C. — NPI 1336487131, Bronx, NY | NPI Central

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NPI 1336487131

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Bronx River Dental P.C.

NPI 1336487131 · Dental Therapist · Bronx, NY

Provider details

NPI number: 1336487131
Entity type: Organization
Primary specialty: Dental TherapistDental Providers
Authorized official: Ezro Fattakhov, Doctor/Owner
License: 046846 (NY)

Practice location

3000 Bronx Park E

Bronx, NY 10467-6711

Phone: (718) 655-0075

Fax: (718) 708-6966

More NY providers

Mailing address

3000 Bronx Park E

Bronx, NY 10467-6711

Registry dates

Enumerated: 2013-01-29
Last updated: 2013-11-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.