Organization · Type 2 NPI
Dentserv Dental Services, PC
Dental Clinic/Center · Pelham Manor, NY
NPI number
1194072793
Active
Practice location
15 Canal Road
Pelham Manor, NY 10803
Fax (718) 414-1651
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 035119-1 (NY) |
| Dental Clinic/Center Primary | 261QD0000X | 035119-01 (NY) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1194072793
Dentserv Dental Services, PC's National Provider Identifier is 1194072793, issued on Aug 14, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pelham Manor, NY. The record was last updated on Dec 12, 2019.