Organization
COLUMBUS PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FALLA (OPERATIONAL MANAGER)
(917) 580-7360
Entity
Organization
Contact information
Practice address
40 W 72ND ST STE B, NEW YORK, NY 10023-4195
(917) 580-7360
(917) 580-7334
Mailing address
40 W 72ND ST STE B, NEW YORK, NY 10023-4195
(917) 580-7360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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