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Organization
SHINE BRIGHT DENTAL SERVICES PC
Active
Organization
SHINE BRIGHT DENTAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANU PRAKASH DDS (DENTIST)
(212) 996-0900
Entity
Organization
Contact information
Practice address
2027 3RD AVE, DENTAL STOREFRONT, NEW YORK, NY 10029
(212) 996-0900
Mailing address
2027 3RD AVE, DENTAL STOREFRONT, NEW YORK, NY 10029
(212) 996-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054540
NY
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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