URBAN PEDIATRIC DENTAL PC
Managed Care Organizations at Mott St, New York, NY

License number
New York 0497501
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
New York 0535941
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MS. JESSICA LOO MARN D.D.S
Title: PRACTICE OWNER
Phone: (212) 965-8113
Address
Address
128 Mott St SUITE 203, New York, NY 10013
National Provider ID: 1699076083
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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URBAN PEDIATRIC DENTAL, PC

New York, NY

Industry:
Dentist's Office Medical Doctor's Office, Dentists
Registration:
Oct 6, 2010
Phone:
(212) 965-8113 (Phone)
Addresses:
128 Mott St SUITE 203, New York, NY 10013 (Physical)
128 Mott St STE 203, New York, NY 10013 (Physical)
State ID:
4004276
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Pediatric Dentists:
Jessica Loo Marn, 128 Mott St STE #203, New York, NY 10013 (Physical),J. L. Marn (Pediatric Dentist)

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