| East Side Pediatric Dental | |
|
133 East 58th Street Suite 402 New York NY 10022-1157 | |
| (212) 965-8113 | |
| (212) 965-8114 |
| Full Name | East Side Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 133 East 58th Street, New York, New York |
| Authorized Official Name and Position | Jessica Loo Marn (PEDIATRIC DENTIST/PRESIDENT) |
| Authorized Official Contact | 2129658113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Side Pediatric Dental 128 Mott Street Suite 403 New York NY 10013-5575 Ph: (212) 965-8113 | East Side Pediatric Dental 133 East 58th Street Suite 402 New York NY 10022-1157 Ph: (212) 965-8113 |
| NPI Number | 1538539986 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538539986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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