W Dental, Pllc

NPI 1093117640 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1093117640
Enumeration Date 09/25/2014
Last Updated 09/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GARRETT GARRETT
Position MEMBER
Phone (914) 924-5395
Fax
Practice Location
95 CHRISTOPHER ST
3J
NEW YORK NY, 10014-6605, US
Phone (914) 924-5395
Fax
Business Location
95 CHRISTOPHER ST
3J
NEW YORK NY, 10014-6605, US
Phone
Fax
Toxanomy
Taxonomy Code 302R00000X
License State New York
License Number 50050070
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According to our database, W Dental, Pllc NPI is 1093117640, taxonomy code is 302R00000X and license number is 50050070, license state is located at New York. W Dental, Pllc physically located at 95 Christopher St, New York NY, 10014-6605. NPI Number 1033115704 has the healthcare provider type.

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1093117640 NPI number is provided on an as is basis without warranty of any kind. 1093117640 is maintained by the National Plan & Provider Enumeration System. The contents of W Dental, Pllc are for informational purposes only.