Dental Spa & Beyond, PC
Clinic/Center, Dental in Staten Island, NY. Organization (NPI-2).
NPI number1417167883
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1417167883
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Spa & Beyond, PC
- Organization subpart
- No
- Enumeration date
- May 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 050415 | NY | Yes |
Practice location
3777 Richmond AveStaten Island, NY 10312-3827
Phone 718-948-3777 · Fax 718-948-0147
Mailing address
3777 Richmond AveStaten Island, NY 10312
Phone 718-948-3777 · Fax 718-948-0147
Authorized official
Anne Gershkowitz
President
7189483777
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