# MADISON DENTAL SMILE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881559763
- **Authorized official:** BRYAN JAIRO LOBON MUNOZ (GENERAL MANAGER)
- **Authorized official phone:** (939) 262-7444

## Contact information

- **Practice address:** 30 E 60TH ST STE 1101, NEW YORK, NY 10022-1139
- **Practice address phone:** (939) 262-7444
- **Mailing address:** 30 E 60TH ST STE 1101, NEW YORK, NY 10022-1139
- **Mailing address phone:** (939) 262-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2025
- **Last updated:** 12/22/2025