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1770295255
STATEN ISLAND DENTAL BOUTIQUE
STATEN ISLAND, NY
NPI
1770295255
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Entity Type
Organization
Authorized Contact
OLENA RONAN
Owner
347-596-7719
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
STATEN ISLAND DENTAL BOUTIQUE
1735 RICHMOND AVE FL 2
STATEN ISLAND, NY 10314-3907
Phone number: 347-596-7719
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Mailing Address
STATEN ISLAND DENTAL BOUTIQUE
81 NARROWS RD N APT D
STATEN ISLAND, NY 10305-2818
Phone number: 347-596-7719
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