Organization
PEDIATRIC DENTISTRY & WEST SIDE ORTHODONTICS, LLC
Active
Other names
Central Park West Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
327 CENTRAL PARK W STE 1C, NEW YORK, NY 10025-7631
(212) 280-1700
Mailing address
327 CENTRAL PARK W STE 1C, NEW YORK, NY 10025-7631
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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