| 72nd Street Dental Care Pllc | |
|
200 E 72nd St 1 New York NY 10021-4537 | |
| (121) 274-4774 | |
| (121) 251-7267 |
| Full Name | 72nd Street Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 200 E 72nd St, New York, New York |
| Authorized Official Name and Position | Ian Morgan Cantor (OWNER) |
| Authorized Official Contact | 2127447747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 72nd Street Dental Care Pllc 200 E 72nd St 1 New York NY 10021-4537 Ph: (121) 274-4774 | 72nd Street Dental Care Pllc 200 E 72nd St 1 New York NY 10021-4537 Ph: (121) 274-4774 |
| NPI Number | 1184030157 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184030157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046056 (New York) | Primary |
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