Organization
MTN TRIBECA DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONG TRINH THI NGUYEN D.D.S. (PRESIDENT)
(212) 925-4000
Entity
Organization
Contact information
Practice address
249 W BROADWAY STE 2D, NEW YORK, NY 10013-2463
(212) 925-4000
(212) 925-4000
Mailing address
249 W BROADWAY STE 2D, NEW YORK, NY 10013-2463
(212) 925-4000
(212) 925-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282439
—
NY
Enumeration date
01/31/2007
Last updated
08/22/2020
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