Organization
ILLUSTRADENT EASTSIDE DENTAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JOSEPH PILAVSKY DDS (OWNER)
(212) 480-2111
Entity
Organization
Contact information
Practice address
810 2ND AVE, NEW YORK, NY 10017-4502
(212) 480-2111
Mailing address
810 2ND AVE, NEW YORK, NY 10017-4502
(212) 480-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052167
NY
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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