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Organization
NEXT GENERATION DENTAL GROUP
Active
Organization
NEXT GENERATION DENTAL GROUP
Active
Parent organization
NEW YORK DENTAL SPECIALTY GROUP
Other names
new york dental specialty group
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK DENTAL SPECIALTY GROUP
Authorized official
DR. BENJAMIN P GANJIAN DDS (CEO)
(212) 799-5310
Entity
Organization
Contact information
Practice address
180 W END AVE, SUITE 1F, NEW YORK, NY 10023-4902
(212) 799-5310
Mailing address
180 W END AVE, SUITE 1F, NEW YORK, NY 10023-4902
(212) 799-5310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050559
NY
1223E0200X
Endodontics
055832
NY
1223P0221X
Pediatric Dentistry
053917
NY
1223P0300X
Periodontics
054071
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
051965
NY
Other
Enumeration date
05/23/2007
Last updated
05/08/2017
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