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Organization

ROCKEFELLER DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD NEJAT DDS (DOCTOR)
(212) 581-1091
Entity
Organization

Contact information

Practice address
630 5TH AVE, SUITE 1803, NEW YORK, NY 10111-0100
(212) 581-1091
(212) 581-0640
Mailing address
630 5TH AVE, SUITE 1803, NEW YORK, NY 10111-0100
(212) 581-1091
(212) 581-0640

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
047153
NY

Other

Enumeration date
08/22/2014
Last updated
08/22/2014
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