Organization
TRIBECA BROADWAY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARY JONH CUNNINGHAM (GENERAL DENTISTRY)
(212) 619-0971
Entity
Organization
Contact information
Practice address
291 BROADWAY, SUITE 1105, NEW YORK, NY 10007-1814
(212) 619-0971
Mailing address
291 BROADWAY, SUITE 1105, NEW YORK, NY 10007-1814
(212) 619-0971
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
050825
NY
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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