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General NPI Number Information
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NPI Number | 1952265258
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Entity Type | Organization
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Legal Business Name | WESTCHESTER GENTLE DENTISTRY, P.C.
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 430 WESTCHESTER AVE STE 1
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City | PORT CHESTER
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State | NY
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Zip | 10573-2843
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Country | US
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Telephone | 914-289-0672
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Fax | 914-499-0266
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Provider Business Mailing Address
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Address Line | 430 WESTCHESTER AVE STE 1
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City | PORT CHESTER
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State | NY
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Zip | 10573-2843
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Country | US
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Telephone | 914-289-0672
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Fax | 914-499-0266
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Authorized Official
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Title or Position | OWNER
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Name | FERYAL ALIDADI
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Credential | DDS
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Telephone | 914-289-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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