Organization
WESTSIDE ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AYOUB DDS (ORTHODONTIST)
(212) 595-1500
Entity
Organization
Contact information
Practice address
180 W END AVE, SUITE 1 F, NEW YORK, NY 10023-4902
(212) 595-1500
Mailing address
180 W END AVE, SUITE 1 F, NEW YORK, NY 10023-4902
(212) 595-1500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051936
NY
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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