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Contact Information

W DENTAL
706 ST. NICHOLAS AVE
NEW YORK, NY10031
 Phone: 212-939-9399
 Fax: 212-939-9366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for W DENTAL · (Female)

NPI # 1417374182
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2014
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 36042-1
  • NY Medicaid 02578545
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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