Organization
NY SMILE DESTINATION DENTAL CATE PC, INC.
Active
Other names
NY Smile Destination
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK HERAVI DDS (OWNER/PRESIDENT)
(516) 384-7215
Entity
Organization
Contact information
Practice address
440 E 79TH ST APT 1F, NEW YORK, NY 10075-1407
(212) 697-6453
(646) 882-6888
Mailing address
440 E 79TH ST APT 1F, NEW YORK, NY 10075-1407
(212) 697-6453
(646) 882-6888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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