| Washington Heights Dental Practice, P.c | |
|
3928 Broadway First Floor New York NY 10032-1544 | |
| (212) 543-0200 | |
| Not Available |
| Full Name | Washington Heights Dental Practice, P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3928 Broadway, New York, New York |
| Authorized Official Name and Position | Alexander Mikhailov (OWNER) |
| Authorized Official Contact | 2125430200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Heights Dental Practice, P.c 3928 Broadway First Floor New York NY 10032-1544 Ph: (212) 543-0200 | Washington Heights Dental Practice, P.c 3928 Broadway First Floor New York NY 10032-1544 Ph: (212) 543-0200 |
| NPI Number | 1083856827 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083856827 | NPI | - | NPPES |
| 01100018 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 041796 (New York) | Primary |
News Archive
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