| Washington Square Dental Group , P.c. | |
|
2 5th Ave Ste 4 New York NY 10011-8855 | |
| (212) 674-4011 | |
| Not Available |
| Full Name | Washington Square Dental Group , P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 5th Ave Ste 4, New York, New York |
| Authorized Official Name and Position | Mark D Horowitz (OFFICER- PRESIDENT) |
| Authorized Official Contact | 2126744011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Square Dental Group , P.c. 2 5th Ave Ste 4 New York NY 10011-8855 Ph: (212) 674-4011 | Washington Square Dental Group , P.c. 2 5th Ave Ste 4 New York NY 10011-8855 Ph: (212) 674-4011 |
| NPI Number | 1699829994 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699829994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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