Provider Demographics
NPI:1457402661
Name:SELDMAN, DALITH (DMD)
Entity type:Individual
Prefix:DR
First Name:DALITH
Middle Name:
Last Name:SELDMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROCKEFELLER PLZ
Mailing Address - Street 2:SUITE 2229
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10020-2003
Mailing Address - Country:US
Mailing Address - Phone:212-757-7070
Mailing Address - Fax:212-307-6871
Practice Address - Street 1:1 ROCKEFELLER PLZ
Practice Address - Street 2:SUITE 2229
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020-2003
Practice Address - Country:US
Practice Address - Phone:212-757-7070
Practice Address - Fax:212-307-6871
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048993122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist