Organization
EAST VILLAGE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA ROZENBERG (OWNER)
(212) 677-2510
Entity
Organization
Contact information
Practice address
15 AVENUE A, GROUND FLOOR, NEW YORK, NY 10009-7996
(212) 677-2510
(212) 228-8119
Mailing address
15 AVENUE A, GROUND FLOOR, NEW YORK, NY 10009-7996
(212) 677-2510
(212) 228-8119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045553-1
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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