Dental Specialty Associates of Gramercy

NPI #1114185774 in New York, New York

Provider Information

NPI Number
1114185774
Entity Type
Organization
Organization Name
Dental Specialty Associates of Gramercy
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
May 29, 2008
Last Updated
May 29, 2008

Practice Location

Address
205 E 16TH ST STE LL
ZIP Code
10003-3790
Phone
(212) 228-2505

Authorized Official

Name
MR. ROBERT MAIMONE, DR.
Title
OWNER
Phone
(212) 228-2505

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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