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Organization
LITVINOV DENTAL LLC
Active
Organization
LITVINOV DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY E LITVINOV DDS (OWNER)
(212) 744-5544
Entity
Organization
Contact information
Practice address
333 EAST 79 ST, STE LU, NEW YORK, NY 10021
(212) 744-5544
(212) 746-5556
Mailing address
333 EAST 79 ST, STE LU, NEW YORK, NY 10021
(212) 744-5544
(212) 746-5556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346510
—
NY
Enumeration date
11/20/2006
Last updated
08/22/2020
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