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Organization
YORK DENTAL PC
Active
Organization
YORK DENTAL PC
Active
Other names
york kids dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELILAH VAZQUEZ (ADMINISTRATOR)
(646) 762-0256
Entity
Organization
Contact information
Practice address
133 E 58TH STREET, 402, NEW YORK, NY 10022
(646) 762-0256
Mailing address
133 E 58TH ST, 402, NEW YORK, NY 10022-1236
(646) 762-0256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049693
NY
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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