Organization
MARYAM EDALAT D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM EDALAT D.D.S. (OWNER)
(212) 371-0360
Entity
Organization
Contact information
Practice address
30 CENTRAL PARK S RM 4C, NEW YORK, NY 10019-1628
(212) 371-0360
Mailing address
30 CENTRAL PARK S RM 4C, NEW YORK, NY 10019-1628
(212) 371-0360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044327
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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