| Westside Dentist, P.c. | |
|
57 W 58th St Suite 2c New York NY 10019-1630 | |
| (212) 247-5050 | |
| (212) 581-3596 |
| Full Name | Westside Dentist, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 57 W 58th St, New York, New York |
| Authorized Official Name and Position | Anna Barantsevich (PRESIDENT) |
| Authorized Official Contact | 2122475050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Dentist, P.c. 57 W 58th St Suite 2c New York NY 10019-1630 Ph: (212) 247-5050 | Westside Dentist, P.c. 57 W 58th St Suite 2c New York NY 10019-1630 Ph: (212) 247-5050 |
| NPI Number | 1346640190 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346640190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 046914 (New York) | Primary |
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