| Aesthetic Creations Dental, P.l.l.c. | |
|
509 Madison Ave Suite 702 New York NY 10022-5501 | |
| (212) 688-0103 | |
| Not Available |
| Full Name | Aesthetic Creations Dental, P.l.l.c. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 509 Madison Ave, New York, New York |
| Authorized Official Name and Position | Stella Kyung-seok Oh (PRESIDENT) |
| Authorized Official Contact | 6463828443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Creations Dental, P.l.l.c. 159 E 30th St #16a New York NY 10016-7300 Ph: (646) 382-8443 | Aesthetic Creations Dental, P.l.l.c. 509 Madison Ave Suite 702 New York NY 10022-5501 Ph: (212) 688-0103 |
| NPI Number | 1578713087 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 09/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578713087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052746 (New York) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 052746 (New York) | Primary |
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