71st Street Smiles Pllc

NPI #1578157327 in NY, New York

Provider Information

NPI Number: 1578157327
Entity Type: Organization
Organization Name: 71st Street Smiles Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 23, 2021
Last Updated: Feb 23, 2021

Practice Location

Address: 145 WEST 71ST STREET
Address 2: #16
City: NY
State: New York
ZIP Code: 10023
Phone: (212) 579-0552

Authorized Official

Name: DR. JOHANNA JACOBS, DDS
Title: DENTIST
Phone: (212) 579-0552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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