Organization
4290 WASHINGTON HEIGHTS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOISE NAWLO DDS (PARTNER)
(212) 780-0166
Entity
Organization
Contact information
Practice address
4290 BROADWAY # 2S, NEW YORK, NY 10033-3732
(212) 781-0166
Mailing address
4290 BROADWAY # 2S, NEW YORK, NY 10033-3732
(212) 781-0166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049809
NY
122300000X
Dentist
050606
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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