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Organization
CENTRAL PARK SOUTH DENTAL CORPORATION
Active
Organization
CENTRAL PARK SOUTH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK HEGEDUS D.D.S. (PRESIDENT)
(212) 759-2993
Entity
Organization
Contact information
Practice address
30 CENTRAL PARK S, SUITE 3A, NEW YORK, NY 10019-1628
(212) 759-2993
Mailing address
30 CENTRAL PARK S, SUITE 3A, NEW YORK, NY 10019-1628
(212) 759-2993
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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