PROS903 NPI 1235480518

NPI Information

PROS903 is a prosthodontics dentist in New York, NY. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. PROS903 NPI is 1235480518. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 E 60TH ST
SUITE 903
NEW YORK, NY
ZIP 10022-008
Phone: (212) 935-8700
Fax: (212) 935-8702

The provider's authorized official is Marla C King .
The authorized official title is Owner and has the following contact phone number (212) 935-8700.

The enumeration date for this NPI number is 9/26/2012 and was last updated on 9/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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