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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