| Dentists On Madison Group Practice | |
|
175 Madison Ave New York NY 10016-5106 | |
| (212) 532-2000 | |
| Not Available |
| Full Name | Dentists On Madison Group Practice |
|---|---|
| Speciality | Dentist |
| Location | 175 Madison Ave, New York, New York |
| Authorized Official Name and Position | Khaled Eldin (OWNER) |
| Authorized Official Contact | 2125322000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists On Madison Group Practice 175 Madison Ave New York NY 10016-5106 Ph: (212) 532-2000 | Dentists On Madison Group Practice 175 Madison Ave New York NY 10016-5106 Ph: (212) 532-2000 |
| NPI Number | 1013382829 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013382829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 049044 (New York) | Primary |
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