| NPI Details | |
|---|---|
| NPI | 1073767380 |
| Enumeration Date | 11/13/2008 |
| Last Updated | 06/26/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | REUVEN REUVEN |
| Position | DENTIST |
| Phone | (212) 595-4382 |
| Fax | (212) 501-9116 |
| Practice Location | |
|---|---|
| 215 W 90TH ST SUITE 1C NEW YORK NY, 10024-1221, US |
|
| Phone | (212) 595-4382 |
| Fax | (212) 501-9116 |
| Business Location | |
|---|---|
| 215 W 90TH ST SUITE 1C NEW YORK NY, 10024-1221, US |
|
| Phone | (212) 595-4382 |
| Fax | (212) 501-9116 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 122300000X |
| License State | New York |
| License Number | 049298 |
| Remove 1073767380 NPI Number | |
According to our database, West Side Gentle Dental NPI is 1073767380, taxonomy code is 122300000X and license number is 049298, license state is located at New York. West Side Gentle Dental physically located at 215 W 90th St, New York NY, 10024-1221. NPI Number 1033115704 has the healthcare provider type.
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1073767380 NPI number is provided on an as is basis without warranty of any kind. 1073767380 is maintained by the National Plan & Provider Enumeration System. The contents of West Side Gentle Dental are for informational purposes only.
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