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Organization
LUMA DENTAL PC
Active
Organization
LUMA DENTAL PC
Active
Parent organization
NEW YORK DENTAL GROUP LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK DENTAL GROUP LLP
Authorized official
DR. NEAL K FUJISHIGE DDS (PARTNER)
(212) 989-5253
Entity
Organization
Contact information
Practice address
20 W 14TH ST, NEW YORK, NY 10011-7501
(212) 989-5253
(212) 989-5263
Mailing address
20 W 14TH ST, NEW YORK, NY 10011-7501
(212) 989-5253
(212) 989-5263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508801838
—
NY
Enumeration date
04/02/2008
Last updated
08/16/2010
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