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Organization
EZ GENTLE FAMILY DENTAL, INC.
Active
Organization
EZ GENTLE FAMILY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE D GUTIERREZ (OFFICE MANAGER/ADMINISTRATOR)
(212) 781-7272
Entity
Organization
Contact information
Practice address
4175 BROADWAY, NEW YORK, NY 10033-3730
(212) 781-7272
(212) 781-2220
Mailing address
56 FERGUSON ST, E-1, NEWARK, NJ 07105-2881
(973) 878-2689
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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