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Organization
MADISON DENTAL PC
Active
Organization
MADISON DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN OKON DMD (PRESIDENT)
(212) 380-1165
Entity
Organization
Contact information
Practice address
425 MADISON AVENUE,, SUITE 1800, NEW YORK, NY 10017
(212) 380-1165
Mailing address
425 MADISON AVENUE,, SUITE 1800, NEW YORK, NY 10017
(212) 380-1165
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049245
NY
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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