Organization
DENTAL ARTIST, LLC
Active
Other names
Gramercy Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CLIBURN (OFFICE MANAGER)
(212) 614-2662
Entity
Organization
Contact information
Practice address
8 GRAMERCY PARK S, SUITE 1B, NEW YORK, NY 10003-1718
(212) 614-2662
Mailing address
8 GRAMERCY PARK S, SUITE 1B, NEW YORK, NY 10003-1718
(212) 614-2662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053659
NY
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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