West Side Gentle Dental

NPI 1073767380 - Dentist - 122300000X

NPI Details
NPI 1073767380
Enumeration Date 11/13/2008
Last Updated 06/26/2015
Entity Type Healthcare Provider
Active Over 8 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
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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.