NPI | 1154838068 |
---|---|
Former Legal Business Name | CHATHAM SQUARE DENTAL ASSOCIATE PC |
Entity Type | Organization |
Authorized Contact | GLENN HO NGAN President 212-385-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2018-01-02 |
Last Update Date | 2018-01-02 |