Astor Smile Dental Pllc

NPI 1124459706 - Clinic/Center - 261QD0000X

NPI Details
NPI 1124459706
Enumeration Date 12/06/2013
Last Updated 12/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name EUNJUNG EUNJUNG
Position DOCTOR
Phone (212) 254-0800
Fax
Practice Location
191 3RD AVE
NEW YORK NY, 10003-2501, US
Phone (212) 254-0800
Fax
Business Location
191 3RD AVE
NEW YORK NY, 10003-2501, US
Phone (212) 254-0800
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State New York
License Number 056719
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According to our database, Astor Smile Dental Pllc NPI is 1124459706, taxonomy code is 261QD0000X and license number is 056719, license state is located at New York. Astor Smile Dental Pllc physically located at 191 3rd Ave, New York NY, 10003-2501. NPI Number 1033115704 has the healthcare provider type.

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1124459706 NPI number is provided on an as is basis without warranty of any kind. 1124459706 is maintained by the National Plan & Provider Enumeration System. The contents of Astor Smile Dental Pllc are for informational purposes only.