Organization
EAST COAST DENTAL GROUP,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FEARON (PRESIDENT)
(212) 799-1199
Entity
Organization
Contact information
Practice address
608A W END AVE, NEW YORK, NY 10024-1603
(212) 799-1199
Mailing address
608A W END AVE, NEW YORK, NY 10024-1603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040719
NY
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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