Organization
PROFESSIONAL ORTHODONTIC DENTISTRY OF DOWNSTATE NEW YORK, PLLC
Active
Organization
PROFESSIONAL ORTHODONTIC DENTISTRY OF DOWNSTATE NEW YORK, PLLC
Active
Other names
Eastside Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING MANAGER)
(724) 901-1964
Entity
Organization
Contact information
Practice address
192 E 75TH ST, NEW YORK, NY 10021-3242
(212) 879-3956
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
(844) 399-0385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/20/2026
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