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Organization
WHITENING DENTAL ARTS PC
Active
Organization
WHITENING DENTAL ARTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINA LYSSOVA DDS (OWNER)
(212) 920-5953
Entity
Organization
Contact information
Practice address
131 E 38TH ST, NEW YORK, NY 10016-2604
(212) 920-5953
(347) 223-5036
Mailing address
131 E 38TH ST, NEW YORK, NY 10016-2604
(212) 920-5953
(347) 223-5036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052130
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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