# ALL SMILES DENTAL ON 12TH CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477037539
- **Authorized official:** DR. ALLA DORFMAN DDS (OWNER)
- **Authorized official phone:** (347) 378-6335

## Contact information

- **Practice address:** 59 W 12TH ST APT 1C, NEW YORK, NY 10011-8520
- **Practice address phone:** (347) 378-6335
- **Mailing address:** 59 W 12TH ST APT 1C, NEW YORK, NY 10011-8520
- **Mailing address phone:** (347) 378-6335

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/24/2018