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Organization
WHITE PLAINS DENTAL PROVIDER PLLC
Active
Organization
WHITE PLAINS DENTAL PROVIDER PLLC
Active
Other names
Dental Group Of Westchester
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANE GAVIAO (OFFICE MANAGER)
(914) 683-5203
Entity
Organization
Contact information
Practice address
10 MITCHELL PL STE 102, WHITE PLAINS, NY 10601-4300
(914) 683-5203
(914) 289-0846
Mailing address
10 MITCHELL PL STE 102, WHITE PLAINS, NY 10601-4300
(914) 683-5203
(914) 289-0846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050677-1
NY
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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