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10 Mitchell Pl Ste 102 White Plains NY 10601-4300 | |
| (914) 683-5203 | |
| (914) 289-0846 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 10 Mitchell Pl Ste 102, White Plains, New York |
| Authorized Official Name and Position | Tatiane Gaviao (OFFICE MANAGER) |
| Authorized Official Contact | 9146835203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10 Mitchell Pl Ste 102 White Plains NY 10601-4300 Ph: (914) 683-5203 | 10 Mitchell Pl Ste 102 White Plains NY 10601-4300 Ph: (914) 683-5203 |
| NPI Number | 1174994529 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174994529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050677-1 (New York) | Primary |
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