Organization
MADISON AVENUE DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON ROYTBERG (MEMBER)
(201) 328-7059
Entity
Organization
Contact information
Practice address
515 MADISON AVE, 3303, NEW YORK, NY 10022-5403
(212) 751-1333
Mailing address
515 MADISON AVE, 3303, NEW YORK, NY 10022-5403
(212) 751-1333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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