Organization
71ST STREET SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHANNA JACOBS DDS (DENTIST)
(212) 579-0552
Entity
Organization
Contact information
Practice address
145 WEST 71ST STREET, #16, NY, NY 10023
(212) 579-0552
(212) 579-6203
Mailing address
145 WEST 71ST STREET, #16, NY, NY 10023
(212) 579-0552
(212) 579-6203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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