Organization
ALL SMILES DENTAL ON 12TH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLA DORFMAN DDS (OWNER)
(347) 378-6335
Entity
Organization
Contact information
Practice address
59 W 12TH ST APT 1C, NEW YORK, NY 10011-8520
(347) 378-6335
Mailing address
59 W 12TH ST APT 1C, NEW YORK, NY 10011-8520
(347) 378-6335
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891006755
NPI
NY
Enumeration date
09/24/2018
Last updated
09/24/2018
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