Organization
CENTRAL PARK WEST DENTAL STUDIO,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENEVIEVE FERNANDES B.D.S.,D.D.S. (DENTIST)
(212) 678-1144
Entity
Organization
Contact information
Practice address
350 CENTRAL PARK W APT 1E, NEW YORK, NY 10025-8842
(212) 678-1144
Mailing address
350 CENTRAL PARK W APT 1E, NEW YORK, NY 10025-8842
(212) 678-1144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053185-1
NY
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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