Organization
28TH AND MADISON LLC
Active
Organization
28TH AND MADISON LLC
Active
Other names
Smile Pop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY AUDRA SCHIEFELBEIIN DMD (OWNER)
(646) 770-2091
Entity
Organization
Contact information
Practice address
76 MADISON AVE, NEW YORK, NY 10016-8724
(646) 770-2091
Mailing address
212 W 18TH ST APT 9F, NEW YORK, NY 10011-4554
(708) 307-3822
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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