Organization
ESOPUS DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEF LOEWENTHAL DDS (VICE PRESIDENT)
(845) 481-7014
Entity
Organization
Contact information
Practice address
105 WOODCREST DRIVE, RIFTON, NY 12471
(845) 658-8131
Mailing address
10 HELLBROOK LANE, ULSTER PARK, NY 12487
(845) 481-7014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02532218
—
NY
Enumeration date
07/18/2006
Last updated
01/13/2022
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