| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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› Verified 3 days ago
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