City Dentistry
Dentist, Periodontics in New York, NY. Organization (NPI-2).
NPI number1902265036
StatusActive
Last updated in NPPESFeb 17, 2016
Details
- NPI
- 1902265036
- Entity type
- Organization (NPI-2)
- Legal business name
- City Dentistry
- Organization subpart
- No
- Enumeration date
- Feb 17, 2016
- Last updated
- Feb 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 056265 | NY | Yes |
Practice location
2090 7th Ave Ground FloorNew York, NY 10027-4990
Phone 201-572-9028
Mailing address
56 Cornell DrLivingston, NJ 07039-5519
Authorized official
Graig Adam Fischgrund
Owner
2015729028
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