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Smile Design Dental Studio PLLC

Clinic/Center, Dental in New York, NY. Organization (NPI-2).

NPI number1699246777
StatusActive
Last updated in NPPESDec 16, 2018

Details

NPI
1699246777
Entity type
Organization (NPI-2)
Legal business name
Smile Design Dental Studio PLLC
Organization subpart
No
Enumeration date
Dec 16, 2018
Last updated
Dec 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

320 E 53rd St Ste 1a
New York, NY 10022-5298

Phone 212-223-7946 · Fax 212-223-7948

Mailing address

320 E 53rd St Ste 1a
New York, NY 10022-5298

Phone 212-223-7946 · Fax 212-223-7948

Authorized official

Franklyn Osaigbovo Aguebor
Dentist
4043680668

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