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Organization
PLEASANTVILLE SMILES DENTISTRY LLC
Active
Organization
PLEASANTVILLE SMILES DENTISTRY LLC
Active
Other names
Pleasantville Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SUDRE DDS (OWNER, DENTIST)
(914) 715-6078
Entity
Organization
Contact information
Practice address
106 WASHINGTON AVE, PLEASANTVILLE, NY 10570-2854
(914) 747-0907
Mailing address
106 WASHINGTON AVE, PLEASANTVILLE, NY 10570-2854
(914) 747-0907
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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