Upper East Side Dentistry,pllc

NPI 1407087075 - Dentist - 1223G0001X

NPI Details
NPI 1407087075
Enumeration Date 07/30/2009
Last Updated 07/30/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name FREDA FREDA
Position DENTIST/OWNER
Phone (212) 737-1787
Fax (212) 706-0197
Practice Location
175 E 74TH ST
1A
NEW YORK NY, 10021-3218, US
Phone (212) 737-1787
Fax (212) 706-0197
Business Location
175 E 74TH ST
1A
NEW YORK NY, 10021-3218, US
Phone (212) 737-1787
Fax (212) 706-0197
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 047925
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According to our database, Upper East Side Dentistry,pllc NPI is 1407087075, taxonomy code is 1223G0001X and license number is 047925, license state is located at New York. Upper East Side Dentistry,pllc physically located at 175 E 74th St, New York NY, 10021-3218. NPI Number 1033115704 has the healthcare provider type.

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1407087075 NPI number is provided on an as is basis without warranty of any kind. 1407087075 is maintained by the National Plan & Provider Enumeration System. The contents of Upper East Side Dentistry,pllc are for informational purposes only.