Organization
EAST VILLAGE DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANETTE LOPEZ (OFFICE MANAGER)
(212) 979-6300
Entity
Organization
Contact information
Practice address
645 E 11TH ST APT 1F, NEW YORK, NY 10009-4134
(212) 979-6300
(212) 202-4173
Mailing address
645 E 11TH ST APT 1F, NEW YORK, NY 10009-4134
(212) 979-6300
(212) 202-4173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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