PETHAN TIN

BRONX, NY
NPI1669428041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY  052227)
Enumeration Date2006-05-26
Last Update Date2007-07-08
Business Address
-- PETHAN TIN dds
1940 GRAND CONCOURSE
BRONX, NY 10457-5221
Phone number: 718-583-6347
Mailing Address
-- PETHAN TIN dds
120 W 86TH ST
NEW YORK, NY 10024-4021
Phone number: 917-714-7593
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