Organization
THOMAS S. HOM DMDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SHELWAH HOM D.M.D. (PRESIDENT/OWNER)
(212) 732-1329
Entity
Organization
Contact information
Practice address
185 PARK ROW STE 9, NEW YORK, NY 10038-5000
(212) 732-1329
Mailing address
185 PARK ROW STE 9, NEW YORK, NY 10038-5000
(212) 732-1329
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
032253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00306083
—
NY
Enumeration date
04/21/2014
Last updated
04/21/2014
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