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Organization

CITY DENTAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE TARANOV DDS (DDS)
(212) 425-0505
Entity
Organization

Contact information

Practice address
11 BROADWAY, MEZAN. LEVEL, NEW YORK, NY 10004-1303
(212) 425-0505
(212) 425-2120
Mailing address
11 BROADWAY, MEZAN. LEVEL, NEW YORK, NY 10004-1303
(212) 425-0505
(212) 425-2120

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049110-1
NY

Other

Enumeration date
11/01/2005
Last updated
07/15/2008
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