Organization
INTEGRATED DENTAL DESIGN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR REID (MEMBER)
(319) 621-0415
Entity
Organization
Contact information
Practice address
17 PARK AVE, NEW YORK, NY 10016-4324
(212) 213-1897
Mailing address
17 PARK AVE, NEW YORK, NY 10016-4324
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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