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Organization
LEVISAGE COSMETIC AND IMPLANT DENTISTRY
Active
Organization
LEVISAGE COSMETIC AND IMPLANT DENTISTRY
Active
Other names
Arch Dental of Garden CIty
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA BUTO (BUSINESS MANAGER)
(516) 683-1870
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 206, GARDEN CITY, NY 11530-4893
(516) 683-1870
(516) 683-1875
Mailing address
901 STEWART AVE, SUITE 206, GARDEN CITY, NY 11530-4893
(516) 683-1870
(516) 683-1875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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