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Organization

ISHIBASHI DENTAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAYAKO ISHIBASHI D.D.S. (PRESIDENT)
(212) 974-0205
Entity
Organization

Contact information

Practice address
30 CENTRAL PARK S RM 12A, NEW YORK, NY 10019-1650
(212) 974-0205
(917) 477-0177
Mailing address
30 CENTRAL PARK S RM 12A, NEW YORK, NY 10019-1650
(212) 974-0205
(917) 477-0177

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55122
NY

Other

Enumeration date
03/10/2014
Last updated
01/27/2026
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