Organization
WADSWORTH FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINGSHENG MA D.D.S. (OWNER)
(212) 795-4475
Entity
Organization
Contact information
Practice address
341A WADSWORTH AVE, NEW YORK, NY 10040-3143
(212) 795-4475
(212) 928-3650
Mailing address
341A WADSWORTH AVE, NEW YORK, NY 10040-3143
(212) 795-4475
(212) 928-3650
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
051417-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02656077
—
NY
Enumeration date
05/22/2008
Last updated
05/22/2008
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