New Rochelle Orthodontics Pc | |
77 Quaker Ridge Rd #202 New Rochelle NY 10804-2808 | |
(914) 636-5958 | |
(914) 560-2097 |
Full Name | New Rochelle Orthodontics Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 77 Quaker Ridge Rd, New Rochelle, New York |
Authorized Official Name and Position | Ju-hyun Lee (PRESIDENT) |
Authorized Official Contact | 9146365958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Rochelle Orthodontics Pc 77 Quaker Ridge Rd #202 New Rochelle NY 10804-2808 Ph: (914) 636-5958 | New Rochelle Orthodontics Pc 77 Quaker Ridge Rd #202 New Rochelle NY 10804-2808 Ph: (914) 636-5958 |
NPI Number | 1619134673 |
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Provider Enumeration Date | 05/19/2008 |
Last Update Date | 05/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619134673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 053537 (New York) | Primary |
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