125TH ST. DENTAL GROUP, PLLC
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1134561137- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 63 W 125TH ST 2ND FLOOR, NEW YORK, NY, 100274512
- Phone
- (646) 505-8852
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
Primary License: NY #051019