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Organization
MARVEL SMILES CORNWALL DENTAL PLLC
Active
Organization
MARVEL SMILES CORNWALL DENTAL PLLC
Active
Other names
CREATING DENTAL EXCELLENCE CORNWALL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANURAG HARSH (CEO)
(212) 220-3333
Entity
Organization
Contact information
Practice address
222 MAIN ST, CORNWALL, NY 12518-1514
(845) 534-3828
Mailing address
388A UNDERCLIFF AVE, EDGEWATER, NJ 07020-7251
(212) 220-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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