# W DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093117640
- **Authorized official:** GARRETT WESTON (MEMBER)
- **Authorized official phone:** (646) 734-3965

## Contact information

- **Practice address:** 95 CHRISTOPHER ST, 3J, NEW YORK, NY 10014-6605
- **Practice address phone:** (914) 924-5395
- **Mailing address:** 95 CHRISTOPHER ST, 3J, NEW YORK, NY 10014-6605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 50050070 | NY | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 09/25/2014