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Organization

PLEASANTVILLE SMILES DENTISTRY LLC

Active
Other names
Pleasantville Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY SUDRE DDS (OWNER, DENTIST)
(914) 715-6078
Entity
Organization

Contact information

Practice address
106 WASHINGTON AVE, PLEASANTVILLE, NY 10570-2854
(914) 747-0907
Mailing address
106 WASHINGTON AVE, PLEASANTVILLE, NY 10570-2854
(914) 747-0907

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/20/2024
Last updated
09/20/2024
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