57 CENTRAL DENTAL PROFESSIONAL CORPORATION
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1134628415- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 57 W 57TH ST STE 710, NEW YORK, NY, 100192802
- Phone
- (212) 564-1888
- Fax
- (212) 564-1161
Specialties & Taxonomies
Dentist, General Practice
License: NY #051532
Dentist, General Practice
Primary License: NY #051275