Provider Demographics
NPI:1780895573
Name:AESTHETIC DENTAL OF WESTCHESTER, PC
Entity type:Organization
Organization Name:AESTHETIC DENTAL OF WESTCHESTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KMETA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-478-2504
Mailing Address - Street 1:ONE NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:HASTINGS-ON-HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1542
Mailing Address - Country:US
Mailing Address - Phone:914-478-2504
Mailing Address - Fax:914-478-3788
Practice Address - Street 1:ONE NORTH STREET
Practice Address - Street 2:
Practice Address - City:HASTINGS-ON-HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1542
Practice Address - Country:US
Practice Address - Phone:914-478-2504
Practice Address - Fax:914-478-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty