Organization
GOTHAM SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO J BLAIS DDS (OWNER/DENTIST)
(347) 772-8387
Entity
Organization
Contact information
Practice address
157 EAST 32ND STREET, SUITE B, NEW YORK, NY 10016
(347) 772-8387
Mailing address
13 W 13TH ST APT 7FS, NEW YORK, NY 10011-7936
(617) 970-4835
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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