Organization · NPI-2

30 Cps Dental, PLLC

Dentist, Prosthodontics · New York, NY

NPI number1902946833
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1902946833
Entity type
Organization (NPI-2)
Legal business name
30 Cps Dental, PLLC
Organization subpart
No
Enumeration date
Feb 8, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics032045-1NYYes

Practice location

30 Central Park S
9th Floor
New York, NY 10019-1628

Phone 212-319-5002 · Fax 212-319-3064

Mailing address

30 Central Park S
9th Floor
New York, NY 10019-1628

Phone 212-319-5002 · Fax 212-319-3064

Authorized official

Alain Roizen
Owner
2123195002

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