Individual
DYLAN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 FULTON ST FL 2, NEW YORK, NY 10038-2767
(703) 475-3147
Mailing address
207 E 37TH ST APT 2L, NEW YORK, NY 10016-3153
(703) 475-3147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062819
NY
Other
Enumeration date
03/31/2021
Last updated
05/25/2023
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