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Organization
WE SMILE DENTAL P.C.
Active
Organization
WE SMILE DENTAL P.C.
Active
Other names
Greater Dental P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MYAE LEE (OWNER)
(718) 822-6086
Entity
Organization
Contact information
Practice address
1959A WESTCHESTER AVE, BRONX, NY 10462-4505
(718) 822-6086
(718) 822-6084
Mailing address
1959A WESTCHESTER AVE, BRONX, NY 10462-4505
(718) 822-6086
(718) 822-6084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053612
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02902674
—
NY
05
—
03466153
—
NY
Enumeration date
03/23/2012
Last updated
04/03/2014
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