Organization
IK DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYUDMILA MOSKVIN (OFFICE MANAGER)
(212) 568-1500
Entity
Organization
Contact information
Practice address
4405 BROADWAY, NEW YORK, NY 10040-4014
(212) 568-1500
Mailing address
4405 BROADWAY, NEW YORK, NY 10040-4014
(212) 568-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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