Organization
UPPER EAST SIDE DENTAL ARTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONSTANTINE TRICHAS DDS (PRESIDENT)
(212) 751-7725
Entity
Organization
Contact information
Practice address
130 E 63RD ST, NEW YORK, NY 10065-7334
(212) 751-7725
(212) 751-7782
Mailing address
130 E 63RD ST, NEW YORK, NY 10065-7334
(212) 751-7725
(212) 751-7782
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054816-1
NY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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