Organization
OPEN BRIGHT PEDIATRIC DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE HYACINTHE D.M.D. (PRESIDENT)
(347) 292-1757
Entity
Organization
Contact information
Practice address
131 W 110TH ST APT 1B, NEW YORK, NY 10026-4205
(347) 292-1757
Mailing address
2266 5TH AVE UNIT 1695, NEW YORK, NY 10037-9464
(347) 292-1757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03275569
—
NY
Enumeration date
02/21/2013
Last updated
02/21/2013
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