Individual
KATIE PASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
29 COOPER ST, NEW YORK, NY 10034-3818
(212) 567-3368
Mailing address
6 W 77TH ST APT 7B, NEW YORK, NY 10024-5125
(917) 921-7584
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058175
NY
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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