Organization
CENTRAL PARK DENTISTRY, PC
Active
Other names
Central Park Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK DICICCO DMD (OWNER)
(212) 486-6211
Entity
Organization
Contact information
Practice address
30 CENTRAL PARK S RM 2B-2C, NEW YORK, NY 10019-1628
(212) 486-6211
Mailing address
30 CENTRAL PARK S RM 2B-2C, NEW YORK, NY 10019-1628
(212) 486-6211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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