WALLACE MATTHEW CHAN

NEW YORK, NY
NPI1386881605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  054755)
Enumeration Date2009-01-08
Last Update Date2010-02-09
Business Address
Dr. WALLACE MATTHEW CHAN DMD
1 GUSTAVE LEVY PLACE DENTAL DEPARTMENT, MOUNT SINAI SCHOOL OF MEDICINE
NEW YORK, NY 10029
Phone number: 212-241-9619
Mailing Address
Dr. WALLACE MATTHEW CHAN DMD
2124 CRESCENT ST APT. D6
ASTORIA, NY 11105-3374
Phone number: 443-758-0844
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