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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILLUSTRADENT EASTSIDE DENTAL SERVICES, PLLC

Active Organization

ILLUSTRADENT EASTSIDE DENTAL SERVICES, PLLC is a General Dentistry organization located in NEW YORK, New York. NPI 1942463609 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · NEW YORK, NY

Registration Details

NPI Number
1942463609
Provider Type
Organization
NPI Issued
Jul 2, 2008 (18.144512240715 yrs)
Last Updated
Jul 2, 2008
License
052167 (NY)

Practice Information

Address
810 2ND AVE
NEW YORK, NY, 100174502
Browse NY providers · Browse ZIP 10017
Phone
2124802111
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in NEW YORK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.