Organization · NPI-2

5d Dental PLLC

Dentist, Prosthodontics · Woodmere, NY

NPI number1346707916
StatusActive
Last updated in NPPESMar 1, 2019

Details

NPI
1346707916
Entity type
Organization (NPI-2)
Legal business name
5d Dental PLLC
Organization subpart
No
Enumeration date
Mar 1, 2019
Last updated
Mar 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics––Yes

Practice location

150 Irving Place
Woodmere, NY 11598

Phone 516-374-9100

Mailing address

150 Irving Place
Woodmere, NY 11598

Phone 516-374-9100

Authorized official

Markus L Weitz
Mngr
5164573111

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