Organization
DENTAL PRIMARY OFFICE NYC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTINA GIESBERG (AUTHORISED OFFICIAL)
(164) 664-7909
Entity
Organization
Contact information
Practice address
19 W 44TH ST, NEW YORK, NY 10036-5902
(164) 684-9699
Mailing address
28 LIBERTY ST, NEW YORK, NY 10005-1400
(016) 468-4969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
Primary
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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