Provider Demographics
NPI:1326515065
Name:DYNAMIC DENTAL ARTS OF ROCKLAND PLLC
Entity Type:Organization
Organization Name:DYNAMIC DENTAL ARTS OF ROCKLAND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MITCHEL
Authorized Official - Last Name:ZITOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-271-3432
Mailing Address - Street 1:345 NORTH MAIN ST. STE. 5
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:845-271-3432
Mailing Address - Fax:845-947-2437
Practice Address - Street 1:345 NORTH MAIN ST. STE. 5
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956
Practice Address - Country:US
Practice Address - Phone:845-271-3432
Practice Address - Fax:845-947-2437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty