Park Avenue Dental Boutique, L.l.c. is a Dental Clinic in New York, New York. It is located at 104 E 74th St, New York, NY and its contact number is 212-369-2202. The authorized person for Park Avenue Dental Boutique, L.l.c. is Mr. Michael Warszawski
who is Secretary of the clinic and their contact number is 646-455-8657. The primary license number for Park Avenue Dental Boutique, L.l.c. is 0506391 (Dentist) in New York.
Park Avenue Dental Boutique, L.l.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Park Avenue Dental Boutique, L.l.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Park Avenue Dental Boutique, L.l.c. |
| Specialization: | Dentistry |
| Clinic Address: | 104 E 74th St, New York,
New York, 10021-3544 |
| Phone: | 212-369-2202 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael Warszawski |
| Position: | Secretary |
| Contact Number: | 646-455-8657 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Park Avenue Dental Boutique, L.l.c. clinic are as mentioned below.
| NPI Number: | 1316440266 |
| NPI Enumeration Date: | 16 Mar, 2018 |
| NPI Last Update On: | 16 Mar, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Avenue Dental Boutique, L.l.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 0506391 | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Park Avenue Dental Boutique, L.l.c.
104 E 74th St,
New York, New York |
| Zip: | 10021-3544 |
| Phone Number: | 212-369-2202 |
Patients can reach Park Avenue Dental Boutique, L.l.c. at
104 E 74th St, New York, New York or can
call to book an appointment on 212-369-2202.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.