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Organization
PARK 56 DENTAL GROUP P.C.
Active
Organization
PARK 56 DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER VITULLI (OFFICE ADMINISTRATOR)
(212) 826-2322
Entity
Organization
Contact information
Practice address
120 E 56TH ST, SUITE 610, NEW YORK, NY 10022-3607
(212) 826-2322
(212) 935-3892
Mailing address
120 E 56TH ST, SUITE 610, NEW YORK, NY 10022-3607
(212) 826-2322
(212) 935-3892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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