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General NPI Number Information
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NPI Number | 1083734644
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Entity Type | Organization
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Legal Business Name | MANHATTAN DENTAL CARE
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 127 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6416
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Country | US
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Telephone | 212-580-4790
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Fax | 212-580-4797
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Provider Business Mailing Address
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Address Line | 127 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6416
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Country | US
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Telephone | 212-580-4790
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Fax | 212-580-4797
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAVID MITCHEL SARNER
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Credential | D.M.D.
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Telephone | 212-580-4790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 036260
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License Number State | NY
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