Organization
ILLUSTRADENT MIDTOWN DENTAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JOSEPH PILAVSKY DDS (OWNER)
(212) 244-4700
Entity
Organization
Contact information
Practice address
358 5TH AVE, SUITE 407, NEW YORK, NY 10001-2209
(212) 244-4700
Mailing address
358 5TH AVE, SUITE 407, NEW YORK, NY 10001-2209
(212) 244-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50-052167
NY
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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