| 71st Street Smiles Pllc | |
|
145 West 71st Street #16 Ny NY 10023 | |
| (212) 579-0552 | |
| (212) 579-6203 |
| Full Name | 71st Street Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 145 West 71st Street, Ny, New York |
| Authorized Official Name and Position | Johanna Jacobs (DENTIST) |
| Authorized Official Contact | 2125790552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 71st Street Smiles Pllc 145 West 71st Street #16 Ny NY 10023 Ph: (212) 579-0552 | 71st Street Smiles Pllc 145 West 71st Street #16 Ny NY 10023 Ph: (212) 579-0552 |
| NPI Number | 1578157327 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578157327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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