| East Village Dental Arts | |
|
645 E 11th St Apt 1f New York NY 10009-4134 | |
| (212) 979-6300 | |
| (212) 202-4173 |
| Full Name | East Village Dental Arts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 645 E 11th St Apt 1f, New York, New York |
| Authorized Official Name and Position | Anette Lopez (OFFICE MANAGER) |
| Authorized Official Contact | 2129796300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Village Dental Arts 645 E 11th St Apt 1f New York NY 10009-4134 Ph: (212) 979-6300 | East Village Dental Arts 645 E 11th St Apt 1f New York NY 10009-4134 Ph: (212) 979-6300 |
| NPI Number | 1033793997 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033793997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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