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Organization
TRIBECA DENTAL CLINIQUE
Active
Organization
TRIBECA DENTAL CLINIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAR BOUJARAN-GHOMI (DENTIST)
(212) 587-0000
Entity
Organization
Contact information
Practice address
123 CHAMBERS ST, NEW YORK, NY 10007-1332
(212) 587-0000
(212) 587-0033
Mailing address
123 CHAMBERS ST, NEW YORK, NY 10007-1332
(212) 587-0000
(212) 587-0033
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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