Organization · Type 2 NPI

2nd Avenue Tooth Doctor,pc

General Practice Dentistry · New York, NY

NPI number 1538378633 Active

About NPI 1538378633

2nd Avenue Tooth Doctor,pc's National Provider Identifier is 1538378633, issued on May 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Jun 13, 2008.