Organization
DENTAL PASSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SHICK DMD (DENTIST)
(212) 749-0600
Entity
Organization
Contact information
Practice address
164 W 96TH ST, NEW YORK, NY 10025-6402
(212) 749-0600
(212) 222-4248
Mailing address
164 W 96TH ST, NEW YORK, NY 10025-6402
(212) 749-0600
(212) 222-4248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050025
NY
122300000X
Dentist
053415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02966338
—
NY
05
—
03079921
—
NY
Enumeration date
03/26/2011
Last updated
03/26/2011
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