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Organization
WEST SIDE KIDS DENTAL, PC
Active
Organization
WEST SIDE KIDS DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NEAL GOLDSMITH DMD (PRESIDENT)
(212) 877-2163
Entity
Organization
Contact information
Practice address
107 W 86TH ST, 1 B, NEW YORK, NY 10024-3409
(212) 877-2163
(212) 877-2133
Mailing address
107 W 86TH ST, 1 B, NEW YORK, NY 10024-3409
(212) 877-2163
(212) 877-2133
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
052974-1
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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