| NPI | 1730199175 |
|---|---|
| Former Legal Business Name | CHEN-MEN DENTAL OR EAST BROADWAY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | WEIHSIN MEN Dentist 212-766-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 048136) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 046965) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-02-01 |