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Organization
WEST SIDE GENTLE DENTAL PC
Active
Organization
WEST SIDE GENTLE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUVEN MOHL DDS (DENTIST)
(212) 595-4382
Entity
Organization
Contact information
Practice address
215 W 90TH ST, SUITE 1C, NEW YORK, NY 10024-1221
(212) 595-4382
(212) 501-9116
Mailing address
215 W 90TH ST, SUITE 1C, NEW YORK, NY 10024-1221
(212) 595-4382
(212) 501-9116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049298
NY
Other
Enumeration date
11/13/2008
Last updated
06/26/2015
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