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Organization
WESTSIDE FAMILY DENTAL GROUP
Active
Organization
WESTSIDE FAMILY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M MARKEL (PRESIDENT)
(212) 496-9600
Entity
Organization
Contact information
Practice address
400 W END AVE APT 1B, NEW YORK, NY 10024-5751
(212) 496-9600
Mailing address
400 W END AVE APT 1B, NEW YORK, NY 10024-5751
(212) 496-9600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035345
NY
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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