MDA Dental Group
MDA Dental Group is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
1995 Broadway Ste 200New York, NY 10023-5882 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 247-2330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 040754-1 (NY) |
|---|
Record details
| NPI number | 1619213436 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marc Mordecai Liechtung — Owner · (212) 247-2330 |
| NPI enumerated | December 26, 2012 |
| Last updated in NPPES | December 26, 2012 |
| Mailing address | 1995 Broadway Ste 200, New York, NY 10023-5882 |
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