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Organization

RYE PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL K CHU DDS (OWNER)
(914) 967-0000
Entity
Organization

Contact information

Practice address
130 THEODORE FREMD AVE APT M2, RYE, NY 10580-6813
(914) 967-0000
(914) 967-0149
Mailing address
130 THEODORE FREMD AVE APT M2, RYE, NY 10580-6813
(914) 967-0000
(914) 967-0149

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051556
NY
1223P0221X
Pediatric Dentistry
051846
NY

Other

Enumeration date
07/02/2011
Last updated
07/02/2011
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