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Organization
STAR PRODENT NY
Active
Organization
STAR PRODENT NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN SCHWARTZ D.D.DS (OWNER)
(212) 213-6622
Entity
Organization
Contact information
Practice address
50 PARK AVE, SUITE 1G, NEW YORK, NY 10016-3075
(212) 213-6622
Mailing address
50 PARK AVE, SUITE 1G, NEW YORK, NY 10016-3075
(212) 213-6622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053559
NY
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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