Open Dental Pc

NPI 1114332798 - Clinic/Center - 261QD0000X

NPI Details
NPI 1114332798
Enumeration Date 06/23/2014
Last Updated 06/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANASTASIA ANASTASIA
Position OFFICE MANAGER
Phone (734) 883-4406
Fax
Practice Location
300 E 96TH ST APT 6E
NEW YORK NY, 10128-3869, US
Phone (734) 883-4406
Fax
Business Location
300 E 96TH ST APT 6E
NEW YORK NY, 10128-3869, US
Phone (734) 883-4406
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State New York
License Number 056676
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According to our database, Open Dental Pc NPI is 1114332798, taxonomy code is 261QD0000X and license number is 056676, license state is located at New York. Open Dental Pc physically located at 300 E 96th St Apt 6e, New York NY, 10128-3869. NPI Number 1033115704 has the healthcare provider type.

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1114332798 NPI number is provided on an as is basis without warranty of any kind. 1114332798 is maintained by the National Plan & Provider Enumeration System. The contents of Open Dental Pc are for informational purposes only.