| Dr. Eda Ellis Dental Pc | |
|
30 Central Park S Suite 7a New York NY 10019-1628 | |
| (212) 753-1119 | |
| (212) 753-1139 |
| Full Name | Dr. Eda Ellis Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 30 Central Park S, New York, New York |
| Authorized Official Name and Position | Eda Ellis (OWNER) |
| Authorized Official Contact | 2127531119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Eda Ellis Dental Pc 30 Central Park S Suite 7a New York NY 10019-1628 Ph: (212) 753-1119 | Dr. Eda Ellis Dental Pc 30 Central Park S Suite 7a New York NY 10019-1628 Ph: (212) 753-1119 |
| NPI Number | 1427582147 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427582147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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