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Soul Dental West Pllc
General Practice Dentistry in New York, New York
NPI 1083170021

Soul Dental West Pllc is a General Practice Dentistry based in New York, NY and is specialized in General Practice. Soul Dental West Pllc practices in New York, NY. The NPI Number for Soul Dental West Pllc is 1083170021 and holds a License No. (New York).

The current practice location address for Soul Dental West Pllc is 853 11Th Ave, New York, NY and can be reached out via phone at 212-201-0718 and via fax at 646-597-6068.

Location: 853 11Th Ave, New York, NY, 10019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083170021
Provider Name
Soul Dental West Pllc
Credential
Provider Entity Type
Organization
Address
853 11Th Ave, New York, NY, 10019
Phone Number
212-201-0718
Fax Number
646-597-6068
Provider Enumeration Date
02/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
055567 01 NY DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
853 11Th Ave
City
New York
State
New York
Zip
10019
Phone Number
212-201-0718
Fax Number
646-597-6068
person
Provider Business Mailing Address Details
Address
853 11Th Ave
City
New York
State
New York
Zip
10019
Phone Number
212-201-0718
Fax Number
646-597-6068
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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