Provider Demographics
NPI:1164627089
Name:U.E.S. DENTAL P.L.L.C.
Entity Type:Organization
Organization Name:U.E.S. DENTAL P.L.L.C.
Other - Org Name:YORKVILLE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RATNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-535-4199
Mailing Address - Street 1:1485 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1363
Mailing Address - Country:US
Mailing Address - Phone:212-535-4199
Mailing Address - Fax:212-472-9551
Practice Address - Street 1:1485 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1363
Practice Address - Country:US
Practice Address - Phone:212-535-4199
Practice Address - Fax:212-472-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty