Organization
AVENUE DENTAL NY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA PANTZIS D.D.S. (OWNER/DENTIST)
(646) 590-7525
Entity
Organization
Contact information
Practice address
16 E 52ND ST, SUITE 1102, NEW YORK, NY 10022-5306
(646) 590-7525
Mailing address
16 E 52ND ST, SUITE 1102, NEW YORK, NY 10022-5306
(646) 590-7525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056711
NY
Other
Enumeration date
10/25/2014
Last updated
10/25/2014
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