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Organization
EAST 4TH STREET DENTAL PLLC
Active
Organization
EAST 4TH STREET DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRIY VOLOTSENKO DDS (MANAGING MEMBER)
(917) 797-8052
Entity
Organization
Contact information
Practice address
101 EAST 4TH STREET, NEW YORK, NY 10003
(212) 239-7027
Mailing address
101 EAST 4TH STREET, NEW YORK, NY 10003
(212) 239-7027
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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