Organization
23RD STREET DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S NADOLNE D.M.D. (MANAGER)
(212) 206-7215
Entity
Organization
Contact information
Practice address
49 W 23RD ST, 12TH FLOOR, NEW YORK, NY 10010-4206
(212) 206-7215
(212) 206-1436
Mailing address
49 W 23RD ST, 12TH FLOOR, NEW YORK, NY 10010-4206
(212) 206-7215
(212) 206-1436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047883
NY
Other
Enumeration date
07/22/2009
Last updated
12/08/2015
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