Organization
DENTISTS ON MADISON GROUP PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED ELDIN DDS (OWNER)
(212) 532-2000
Entity
Organization
Contact information
Practice address
175 MADISON AVE, NEW YORK, NY 10016-5106
(212) 532-2000
Mailing address
175 MADISON AVE, NEW YORK, NY 10016-5106
(212) 532-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049044
NY
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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