Organization
HEALTHY SMILE NEW YORK DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NICHOLS AMED (OWNER)
(212) 904-0277
Entity
Organization
Contact information
Practice address
57 W 57TH ST, 1208, NEW YORK, NY 10019-2802
(212) 904-0277
Mailing address
57 W 57TH ST, 1208, NEW YORK, NY 10019-2802
(212) 904-0277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053609
NY
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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