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General NPI Number Information
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NPI Number | 1942547476
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Entity Type | Organization
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Legal Business Name | U.E.S. DENTAL P.L.L.C.
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 162 W 72ND ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10023-3300
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Country | US
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Telephone | 212-256-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 162 W 72ND ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10023-3300
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Country | US
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Telephone | 212-496-2260
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RATNA MONGA
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Credential | DDS
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Telephone | 212-496-2260
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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 | 053273
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License Number State | NY
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