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Organization
NEW YORK CITY COSMETIC AND GENERAL DENTISTRY PC
Active
Organization
NEW YORK CITY COSMETIC AND GENERAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATRISE AUSTIN DDS (PRESIDENT)
(212) 262-6054
Entity
Organization
Contact information
Practice address
119 W 57TH ST, SUITE 512, NEW YORK, NY 10019-2303
(212) 262-6054
Mailing address
119 W 57TH ST, SUITE 512, NEW YORK, NY 10019-2303
(212) 262-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046889
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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