Happy Teeth Ny Llc | |
220 Riverside Blvd New York NY 10069-1001 | |
(212) 810-6562 | |
Not Available |
Full Name | Happy Teeth Ny Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 220 Riverside Blvd, New York, New York |
Authorized Official Name and Position | Shantanu Lal (OWNER) |
Authorized Official Contact | 6463031394 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Happy Teeth Ny Llc 50 Riverside Blvd Apt 16d New York NY 10069-0248 Ph: (646) 303-1394 | Happy Teeth Ny Llc 220 Riverside Blvd New York NY 10069-1001 Ph: (212) 810-6562 |
NPI Number | 1922632314 |
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Provider Enumeration Date | 02/25/2020 |
Last Update Date | 02/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922632314 | NPI | - | NPPES |
053628-1 | Other | NY | DENTAL LICENSE |
1932365905 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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