# IMAGINE SMILE DESIGN DENTAL ARTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Imagine Smile Design
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265791354
- **Authorized official:** DR. NATASHA GEEN DDS (OWNER)
- **Authorized official phone:** (212) 375-1740

## Contact information

- **Practice address:** 197 3RD AVE, NEW YORK, NY 10003-2501
- **Practice address phone:** (212) 375-1740
- **Practice address fax:** (212) 375-1743
- **Mailing address:** 197 3RD AVE, NEW YORK, NY 10003-2501
- **Mailing address phone:** (212) 375-1740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 052250 | NY | — |
| 261QD0000X | Dental Clinic/Center | 052329 | NY | Yes |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 05/09/2012