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Organization
L I DENTISTRY AND SMILE DESIGN II, P.C.
Active
Organization
L I DENTISTRY AND SMILE DESIGN II, P.C.
Active
Parent organization
L I DENTISTRY AND SMILE DESIGN, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
L I DENTISTRY AND SMILE DESIGN, P.C.
Authorized official
DR. PORFIRIO A NUNEZ DDS (PRESIDENT)
(212) 795-3246
Entity
Organization
Contact information
Practice address
612 W 178TH ST, SUITE 1, NEW YORK, NY 10033-6550
(212) 795-3246
(212) 795-3249
Mailing address
612 W 178TH ST, 1, NEW YORK, NY 10033-6550
(212) 795-3246
(212) 795-3249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051424
NY
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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