Organization
ALLCITY COSMETIC DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS YUSUPOV DDS (OWNER)
(212) 688-1222
Entity
Organization
Contact information
Practice address
139 E 63RD ST, NEW YORK, NY 10065-7408
(212) 688-1222
Mailing address
139 EAST 63RD STREET, NEW YORK, NY 10021
(212) 688-1222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
050130
NY
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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