Organization
DENTAL ARTS AT LEXINGTON & 63RD ST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARITO DELA CRUZ MORADA DDS (OFFICE MANAGER)
(212) 581-3030
Entity
Organization
Contact information
Practice address
105 E 63RD ST, SUITE 1A-1B, NEW YORK, NY 10021-7329
(212) 581-3030
(212) 207-8521
Mailing address
105 E 63RD ST, SUITE 1A-1B, NEW YORK, NY 10021-7329
(212) 581-3030
(212) 207-8521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0432701
NY
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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