Organization
MADISON DENTAL SMILE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN JAIRO LOBON MUNOZ (GENERAL MANAGER)
(939) 262-7444
Entity
Organization
Contact information
Practice address
30 E 60TH ST STE 1101, NEW YORK, NY 10022-1139
(939) 262-7444
Mailing address
30 E 60TH ST STE 1101, NEW YORK, NY 10022-1139
(939) 262-7444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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