Organization
EMERGENCY DENTIST NYC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC DATIKASHVILI DMD (CHIEF DOCTOR)
(215) 917-6886
Entity
Organization
Contact information
Practice address
100 E 12TH ST, NEW YORK, NY 10003-5375
(212) 600-4274
Mailing address
100 E 12TH ST, NEW YORK, NY 10003-5375
(212) 600-4274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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