Organization
PERIODONTICS OF NEW YORK, PLLC
Active
Other names
Philip D Pack, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DAVID PACK DMD (OWNER)
(212) 683-4476
Entity
Organization
Contact information
Practice address
30 E 40TH ST RM 1102, NEW YORK, NY 10016-1204
(212) 683-4476
(212) 683-4577
Mailing address
30 E 40TH ST RM 1102, NEW YORK, NY 10016-1204
(212) 683-4476
(212) 683-4577
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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