Organization
LES DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GITLIN DDS (OWNER)
(516) 729-8506
Entity
Organization
Contact information
Practice address
62 RIVINGTON ST STE 1A-D, NEW YORK, NY 10002-2140
(212) 979-0990
Mailing address
62 RIVINGTON ST STE 1A-D, NEW YORK, NY 10002-2140
(212) 979-0990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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