# GOTHAM SMILES

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

## Provider details

- **NPI number:** 1184280620
- **Authorized official:** DR. LEO J BLAIS DDS (OWNER/DENTIST)
- **Authorized official phone:** (347) 772-8387

## Contact information

- **Practice address:** 157 EAST 32ND STREET, SUITE B, NEW YORK, NY 10016
- **Practice address phone:** (347) 772-8387
- **Mailing address:** 13 W 13TH ST APT 7FS, NEW YORK, NY 10011-7936
- **Mailing address phone:** (617) 970-4835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 05/09/2019