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Organization

MA DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA DEL SOCORRO ACOSTA DDS (OWNER)
(212) 781-4373
Entity
Organization

Contact information

Practice address
295 FORT WASHINGTON AVE APT C, NEW YORK, NY 10032-1210
(212) 781-4674
(212) 781-4675
Mailing address
295 FORT WASHINGTON AVE APT C, NEW YORK, NY 10032-1210
(212) 781-4674
(212) 781-4675

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048018
NY

Other

Enumeration date
04/01/2008
Last updated
04/01/2008
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