Organization
INTEGRATED AESTHETIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE BARSOUM D.M.D. (DENTIST)
(212) 254-5454
Entity
Organization
Contact information
Practice address
130 E 18TH ST, 1M, NEW YORK, NY 10003-2416
(212) 254-5454
Mailing address
130 E 18TH ST, 1M, NEW YORK, NY 10003-2416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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