Organization
BIG APPLE DENTAL PC
Active
Other names
BIG APPLE DENTAL PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SVERDLOV D.DS (PRESIDENT)
(212) 927-1117
Entity
Organization
Contact information
Practice address
348 FORT WASHINGTON AVE, AVENUE, NEW YORK, NY 10033-6834
(212) 927-1117
Mailing address
348 FORT WASHINGTON AVE, AVENUE, NEW YORK, NY 10033-6834
(212) 927-1117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047567-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081823312
—
NY
Enumeration date
08/05/2011
Last updated
10/05/2011
Update your record
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