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NPI 1649424045

OrganizationActive

4290 Washington Heights Dental

NPI 1649424045 · Dentist · New York, NY

Provider details

NPI number: 1649424045
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Moise Nawlo, Partner
License: 050606 (NY)

Practice location

4290 Broadway # 2s

New York, NY 10033-3732

Phone: (212) 781-0166

More NY providers

Mailing address

4290 Broadway # 2s

New York, NY 10033-3732

Registry dates

Enumerated: 2008-11-11
Last updated: 2008-11-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

4290 Washington Heights Dental — NPI 1649424045, New York, NY | NPI Central