Organization
BESPOKE DENTAL NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SCHAEFER (OFFICE MANAGER)
(212) 582-0123
Entity
Organization
Contact information
Practice address
145 W 57TH ST FL 13, NEW YORK, NY 10019-2220
(212) 582-0123
Mailing address
145 W 57TH ST FL 13, NEW YORK, NY 10019-2220
(212) 582-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035174
NY
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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