Organization
JACQUELINE DIKANSKY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DIKANSKY DDS (PRESIDENT)
(917) 815-1002
Entity
Organization
Contact information
Practice address
201 E 21ST ST APT 1H, NEW YORK, NY 10010-6401
(000) 000-0000
Mailing address
201 E 21ST ST APT 1H, NEW YORK, NY 10010-6401
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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