Organization
IMAGINE SMILE DESIGN DENTAL ARTS PLLC
Active
Other names
Imagine Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA GEEN DDS (OWNER)
(212) 375-1740
Entity
Organization
Contact information
Practice address
197 3RD AVE, NEW YORK, NY 10003-2501
(212) 375-1740
(212) 375-1743
Mailing address
197 3RD AVE, NEW YORK, NY 10003-2501
(212) 375-1740
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
052250
NY
261QD0000X
Dental Clinic/Center
Primary
052329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477674927
NPI
—
01
—
1669606133
NPI
NY
Enumeration date
05/09/2012
Last updated
05/09/2012
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