Yamagata Dental, Pc | |
230 Park Ave Suite 525 New York NY 10169-0005 | |
(212) 867-1188 | |
Not Available |
Full Name | Yamagata Dental, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 230 Park Ave, New York, New York |
Authorized Official Name and Position | Ren Yamagata (PRESIDENT) |
Authorized Official Contact | 2128671188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yamagata Dental, Pc 230 Park Ave Suite 525 New York NY 10169-0005 Ph: (212) 867-1188 | Yamagata Dental, Pc 230 Park Ave Suite 525 New York NY 10169-0005 Ph: (212) 867-1188 |
NPI Number | 1063630242 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063630242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 043278 (New York) | Primary |
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