| Integrated Aesthetic Dentistry, Pllc | |
|
130 E 18th St 1m New York NY 10003-2416 | |
| (212) 254-5454 | |
| Not Available |
| Full Name | Integrated Aesthetic Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 130 E 18th St, New York, New York |
| Authorized Official Name and Position | Caroline Barsoum (DENTIST) |
| Authorized Official Contact | 2122545454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Aesthetic Dentistry, Pllc 130 E 18th St 1m New York NY 10003-2416 Ph: () - | Integrated Aesthetic Dentistry, Pllc 130 E 18th St 1m New York NY 10003-2416 Ph: (212) 254-5454 |
| NPI Number | 1508301516 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508301516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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