Organization
MANHATTAN DENTAL ENTERPRISE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LASAUNDRA C. ESTELLE (DDS)
(212) 426-3790
Entity
Organization
Contact information
Practice address
1825 MADISON AVE, NEW YORK, NY 10035-3829
(212) 426-3790
(212) 426-3792
Mailing address
1825 MADISON AVE, NEW YORK, NY 10035-3829
(212) 426-3790
(212) 426-3792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685610
—
NY
Enumeration date
07/24/2008
Last updated
07/24/2008
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