Organization
EVYDENT DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANTHIA MIGADAKI DMD (PRESIDENT)
(212) 567-3368
Entity
Organization
Contact information
Practice address
29 COOPER ST APT 1A, NEW YORK, NY 10034-3819
(212) 567-3368
(212) 567-1941
Mailing address
29 COOPER ST APT 1A, NEW YORK, NY 10034-3819
(212) 567-3368
(212) 567-1941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735000
—
NY
Enumeration date
07/14/2011
Last updated
07/14/2011
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