Organization
EMPIRE STATE DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J MARJOLIN DDS (PRESIDENT)
(212) 594-8060
Entity
Organization
Contact information
Practice address
350 FIFTH AVENUE, SUITE 5222, NEW YORK CITY, NY 10118
(212) 594-8060
(212) 594-8936
Mailing address
350 FIFTH AVENUE, SUITE 5222, NEW YORK CITY, NY 10118
(212) 594-8060
(212) 594-8936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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