Organization
CITIDENATLGROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE LOFLIN (DENTIST)
(212) 685-2890
Entity
Organization
Contact information
Practice address
164 MADISON AVENUE, 3RD FLOOR, NEW YORK, NY 10016
(212) 685-2890
Mailing address
164 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10016-5411
(212) 685-2890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NY51198
NY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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