Organization
MODERN DENTAL OF MANHATTAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL YONAIEV (MANAGER)
(212) 758-1000
Entity
Organization
Contact information
Practice address
425 MADISON AVE RM 500, NEW YORK, NY 10017-1170
(212) 758-1000
Mailing address
425 MADISON AVE RM 500, NEW YORK, NY 10017-1170
(212) 758-1000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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