| Vip Smiles Dentistry Pc | |
|
119 W 57th Street Suite 512 New York NY 10019 | |
| (212) 262-6054 | |
| (212) 765-2831 |
| Full Name | Vip Smiles Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 119 W 57th Street, New York, New York |
| Authorized Official Name and Position | Catrise Lynette Austin (OWNER) |
| Authorized Official Contact | 2122626054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Smiles Dentistry Pc 119 W 57th Street Suite 512 New York NY 10019 Ph: (212) 262-6054 | Vip Smiles Dentistry Pc 119 W 57th Street Suite 512 New York NY 10019 Ph: (212) 262-6054 |
| NPI Number | 1114199346 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114199346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | NY046889 (New York) | Primary |
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