Organization
DREAM SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY SKINNER D.D.S. (EMPLOYER)
(212) 421-2131
Entity
Organization
Contact information
Practice address
57 WEST 57 STREET, SUITE 1207, NEW YORK, NY 10019
(212) 421-2131
Mailing address
57 WEST 57TH STREET, SUITE 1207, NEW YORK, NY 10019
(212) 421-2131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046610
NY
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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