12th Street Dental Pllc Valid NPI
Organization · Public Health Dentistry · New York, NY
- NPI
- 1013499052
- Type
- Organization (Type 2)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- 051610 (NY)
- Enumerated
- 2018-09-06
- Last updated
- 2024-05-30
Practice location
77 E 12th St
New York, NY 10003-5002
(917) 915-4504