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Organization
54TH STREET DENTAL P.C.
Active
Organization
54TH STREET DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA ROZENBERG DDS (OWNER)
(212) 333-3200
Entity
Organization
Contact information
Practice address
45 W 54TH ST, NEW YORK, NY 10019-5404
(212) 333-3200
(212) 633-6961
Mailing address
45 WEST 54TH STREET, NEW YORK, NY 10019
(212) 333-3200
(212) 633-6961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
045553-1
NY
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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