116 Street Dental Care PLLC
Dentist, General Practice in New York, NY. Organization (NPI-2).
NPI number1659788008
StatusActive
Last updated in NPPESJul 17, 2014
Details
- NPI
- 1659788008
- Entity type
- Organization (NPI-2)
- Legal business name
- 116 Street Dental Care PLLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2014
- Last updated
- Jul 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 056883 | NY | Yes |
Other names
- Uptown Dental Group (Doing Business As)
Practice location
240 W 116th StGround Floor
New York, NY 10026-2431
Phone 347-331-6681
Mailing address
240 W 116th StGround Floor
New York, NY 10026-2431
Phone 347-331-6681
Authorized official
Ahmed S Beheiry
Dentist
7185733333
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