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Organization

WEST SIDE KIDS DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT NEAL GOLDSMITH DMD (PRESIDENT)
(212) 877-2163
Entity
Organization

Contact information

Practice address
107 W 86TH ST, 1 B, NEW YORK, NY 10024-3409
(212) 877-2163
(212) 877-2133
Mailing address
107 W 86TH ST, 1 B, NEW YORK, NY 10024-3409
(212) 877-2163
(212) 877-2133

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
052974-1
NY

Other

Enumeration date
04/29/2010
Last updated
04/29/2010
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