# 156 5TH AVE DENTAL PLLC

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

## Provider details

- **NPI number:** 1972256469
- **Authorized official:** DR. BRIDGET GLAZAROV DDS (OWNER)
- **Authorized official phone:** (917) 403-7806

## Contact information

- **Practice address:** 156 5TH AVE STE 900, NEW YORK, NY 10010-7763
- **Practice address phone:** (917) 403-7806
- **Mailing address:** 44 W 22ND ST APT 3, NEW YORK, NY 10010-5859
- **Mailing address phone:** (917) 403-7806

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 02/03/2022