Organization · Type 2 NPI

Illustradent Eastside Dental Services, PLLC

General Practice Dentistry · New York, NY

NPI number 1942463609 Active

About NPI 1942463609

Illustradent Eastside Dental Services, PLLC's National Provider Identifier is 1942463609, issued on Jul 2, 2008. 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 Jul 2, 2008.