Individual
CAROL POVEDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
902 COLUMBUS AVE, NEW YORK, NY 10025-4040
(212) 749-5000
(212) 749-5522
Mailing address
902 COLUMBUS AVE, NEW YORK, NY 10025-4040
(212) 749-5000
(212) 749-5522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046108
NY
Other
Enumeration date
10/23/2005
Last updated
07/08/2007
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