Organization
COLISEUM DENTAL EAST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIA BERGER DDS (PRESIDENT)
(212) 757-3183
Entity
Organization
Contact information
Practice address
244 W 54TH ST STE 614, NEW YORK, NY 10019-5515
(212) 757-3183
Mailing address
244 W 54TH ST STE 614, NEW YORK, NY 10019-5515
(212) 757-3183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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