Organization
DENTAL VISITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY JOHNSON DDS (CHIEF OPERATIONS OFFICER)
(212) 697-0939
Entity
Organization
Contact information
Practice address
30 E 40TH ST, SUITE 604, NEW YORK, NY 10016-1201
(212) 697-0939
Mailing address
30 E 40TH ST, SUITE 604, NEW YORK, NY 10016-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036361
NY
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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