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Organization

LEE GAUSE DDS PC

Active
Other names
Smile Design Manhattan
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER ALEXANDRE GAUSE DDS (COO)
(212) 421-3418
Entity
Organization

Contact information

Practice address
24 W 57TH ST, SUITE 507, NEW YORK, NY 10019-3918
(212) 421-3418
(212) 247-0696
Mailing address
24 W 57TH ST, SUITE 507, NEW YORK, NY 10019-3918
(212) 421-3418
(212) 247-0696

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052315
NY

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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