Organization
ISMILE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH NEWMAN D.D.S. (OWNER)
(914) 965-4233
Entity
Organization
Contact information
Practice address
169 PARK AVE, YONKERS, NY 10703-2907
(914) 965-4233
(914) 965-5708
Mailing address
169 PARK AVE, YONKERS, NY 10703-2907
(914) 965-4233
(914) 965-5708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02842111
—
NY
Enumeration date
09/14/2012
Last updated
09/14/2012
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