NEW BROADWAY DENTAL
Dentist at Broadway, New York, NY

License number
New York 050515
Category
Dentist
Type
Dentist
Owner
Name: NATALYA MODLIN
Title: DDS
Phone: (201) 873-9898
Address
Address
1501 Broadway, New York, NY 10036
National Provider ID: 1134493182
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEW BROADWAY DENTAL PC

1501 Broadway STE 520, New York, NY 10036

Doing business as:
New Broadway Dental
Registration:
Feb 28, 2012
Phone:
(212) 398-1969 (Phone)
State ID:
4209135
Business type:
Domestic Professional Corporation
Natalya Modlin, 1501 Broadway STE 520, New York, NY 10036 (Physical)
Agent:
Dds Natalya Modlin,1501 Broadway STE 520, New York, NY 10036 (Physical)
Categories:
Dentists

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