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1194019901
ANDY WAN
BRONX, NY
NPI
1194019901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 056280)
Enumeration Date
2011-06-09
Last Update Date
2012-10-17
Business Address
Dr. ANDY WAN DDS
4422 THIRD AVENUE ST. BARNABAS HOSPITAL/MILLS BUILDING - DENTAL
BRONX, NY 10457
Phone number: 718-332-9888
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Mailing Address
Dr. ANDY WAN DDS
210 CANAL ST
NEW YORK, NY 10013-4155
Phone number: 212-385-0001
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