Organization
BLUE SKY DENTAL CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LEE CHAN DDS (PARTNER)
(212) 349-9682
Entity
Organization
Contact information
Practice address
210 CANAL ST, #603, NEW YORK, NY 10013
(212) 349-9682
(212) 349-1772
Mailing address
210 CANAL ST, #603, NEW YORK, NY 10013
(212) 349-9682
(212) 349-1772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NY044175
NY
122300000X
Dentist
NY044346
NY
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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