MEDICARE: BIANCA VEKIMA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	064994	NY

General Provider Information

NPI Number	:	1285476598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA VEKIMA DDS

Provider Business Mailing Address
First Line	:	3014 WILSON AVE APT 1A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5159
Country	:	US
Telephone Number	:	734-272-5858
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2010
Country	:	US
Telephone Number	:	718-630-7942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	04/06/2026

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