Organization
EAST 4TH STREET DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRIY VOLOTSENKO DDS (MANAGING MEMBER)
(917) 797-8052
Entity
Organization
Contact information
Practice address
101 EAST 4TH STREET, NEW YORK, NY 10003
(212) 239-7027
Mailing address
101 EAST 4TH STREET, NEW YORK, NY 10003
(212) 239-7027
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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