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Organization

MANHATTAN EASTSIDE ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GILDA DUARTE DDS (OWNER)
(917) 326-1269
Entity
Organization

Contact information

Practice address
207 E 94TH ST FL 5, NEW YORK, NY 10128-3705
(212) 289-8989
Mailing address
406 W 44TH ST APT 4, NEW YORK, NY 10036-5226
(917) 326-1269

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
054412
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055650
NY

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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