Urban Pediatric Dental Pc

NPI 1699076083 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1699076083
Enumeration Date 11/16/2010
Last Updated 01/24/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JESSICA LOO JESSICA
Position PRACTICE OWNER
Phone (212) 965-8113
Fax
Practice Location
128 MOTT STREET
SUITE 203
NEW YORK NY, 10013-5575, US
Phone (212) 965-8113
Fax
Business Location
128 MOTT STREET
SUITE 203
NEW YORK NY, 10013-5575, US
Phone
Fax
Toxanomy
Taxonomy Code 302R00000X
License State New York
License Number 0535941
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According to our database, Urban Pediatric Dental Pc NPI is 1699076083, taxonomy code is 302R00000X and license number is 0535941, license state is located at New York. Urban Pediatric Dental Pc physically located at 128 Mott Street, New York NY, 10013-5575. NPI Number 1033115704 has the healthcare provider type.

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1699076083 NPI number is provided on an as is basis without warranty of any kind. 1699076083 is maintained by the National Plan & Provider Enumeration System. The contents of Urban Pediatric Dental Pc are for informational purposes only.