Line Dental | |
510 E 80th St Ofc 2 New York NY 10075-0719 | |
(646) 536-5088 | |
(646) 536-5077 |
Full Name | Line Dental |
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Speciality | Clinic/center - Dental |
Location | 510 E 80th St Ofc 2, New York, New York |
Authorized Official Name and Position | Wanho Lew (OWNER) |
Authorized Official Contact | 6465365088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Line Dental 510 E 80th St Ofc 2 New York NY 10075-0719 Ph: (646) 536-5088 | Line Dental 510 E 80th St Ofc 2 New York NY 10075-0719 Ph: (646) 536-5088 |
NPI Number | 1215623277 |
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Provider Enumeration Date | 04/13/2023 |
Last Update Date | 08/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215623277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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