| Octagon Dental Pllc | |
|
72 Greene St New York NY 10012-4373 | |
| (212) 287-5645 | |
| Not Available |
| Full Name | Octagon Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 72 Greene St, New York, New York |
| Authorized Official Name and Position | David Janash (PRESIDENT) |
| Authorized Official Contact | 2122875645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Octagon Dental Pllc 30 Central Park S Rm 13c New York NY 10019-1646 Ph: (917) 915-4504 | Octagon Dental Pllc 72 Greene St New York NY 10012-4373 Ph: (212) 287-5645 |
| NPI Number | 1891367686 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891367686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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