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Organization
MERIDIAN DENTAL GROUP, P.C.
Active
Organization
MERIDIAN DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA H CHAN DDS (DIRECTOR)
(212) 813-0850
Entity
Organization
Contact information
Practice address
57 W 57TH ST, 1001, NEW YORK, NY 10019-2802
(212) 813-0850
Mailing address
57 W 57TH ST, 1001, NEW YORK, NY 10019-2802
(212) 813-0850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
050301
NY
1223G0001X
General Practice Dentistry
Primary
050694
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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