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Organization
NY SMILE DESTINATION DENTAL CATE PC, INC.
Active
Organization
NY SMILE DESTINATION DENTAL CATE PC, INC.
Active
Other names
NY Smile Destination
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK HERAVI DDS (OWNER/PRESIDENT)
(516) 384-7215
Entity
Organization
Contact information
Practice address
440 E 79TH ST APT 1F, NEW YORK, NY 10075-1407
(212) 697-6453
(646) 882-6888
Mailing address
440 E 79TH ST APT 1F, NEW YORK, NY 10075-1407
(212) 697-6453
(646) 882-6888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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