# NEW YORK TOTAL DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New York Total Dental PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508340662
- **Authorized official:** ZAHRA BAGHERI DMD (PRESIDENT)
- **Authorized official phone:** (781) 535-1068

## Contact information

- **Practice address:** 30 E 40TH ST RM 201, NEW YORK, NY 10016-1221
- **Practice address phone:** (781) 535-1068
- **Mailing address:** 180 NASSAU ST APT 8A, BROOKLYN, NY 11201-2198
- **Mailing address phone:** (781) 535-1068

## Taxonomy

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

## Other

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