Individual
DR. CARLOS MANUEL OVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 WADSWORTH AVE APT GD2, NEW YORK, NY 10033-3862
(212) 927-1721
(212) 781-9600
Mailing address
201 WADSWORTH AVE APT GD2, NEW YORK, NY 10033-3862
(212) 927-1721
(212) 781-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046968-1
NY
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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