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General NPI Number Information
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NPI Number | 1750243507
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Entity Type | Organization
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Legal Business Name | PARK SMILES DENTAL PLLC DBA PARK SMILES NYC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1175 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1211
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Country | US
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Telephone | 929-209-3936
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Fax | 212-988-6726
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Provider Business Mailing Address
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Address Line | 1175 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1211
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | IDA M DANYO
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Credential |
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Telephone | 732-606-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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