# OCTAGON DENTAL PLLC

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

## Provider details

- **NPI number:** 1891367686
- **Authorized official:** DAVID JANASH DMD (PRESIDENT)
- **Authorized official phone:** (212) 287-5645

## Contact information

- **Practice address:** 72 GREENE ST, NEW YORK, NY 10012-4373
- **Practice address phone:** (212) 287-5645
- **Mailing address:** 30 CENTRAL PARK S RM 13C, NEW YORK, NY 10019-1646
- **Mailing address phone:** (917) 915-4504

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 06/28/2023