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Organization

CENTRAL PARK DENTAL SPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDA ELLIS DDS (DENTIST)
(212) 753-1119
Entity
Organization

Contact information

Practice address
30 CENTRAL PARK S, 7A, NEW YORK, NY 10019-1628
(212) 753-1119
Mailing address
30 CENTRAL PARK S, 7A, NEW YORK, NY 10019-1628
(212) 753-1119

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
044489
NY

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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