# WEST SIDE KIDS DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669799714
- **Authorized official:** DR. ROBERT NEAL GOLDSMITH DMD (PRESIDENT)
- **Authorized official phone:** (212) 877-2163

## Contact information

- **Practice address:** 107 W 86TH ST, 1 B, NEW YORK, NY 10024-3409
- **Practice address phone:** (212) 877-2163
- **Practice address fax:** (212) 877-2133
- **Mailing address:** 107 W 86TH ST, 1 B, NEW YORK, NY 10024-3409
- **Mailing address phone:** (212) 877-2163
- **Mailing address fax:** (212) 877-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 052974-1 | NY | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010